MISS Lakeisha L Porter, PA-C

NPI #1063417889 in Temple Terrace, Florida

Provider Information

NPI Number
1063417889
Entity Type
Individual
Name
MISS Lakeisha L Porter, PA-C
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Physician Assistant - Medical
Credential
PA-C
Enumeration Date
Jun 17, 2005
Last Updated
Jul 8, 2007

Practice Location

Address
13020 N TELECOM PKWY
State
Florida
ZIP Code
33637-0925
Phone
(813) 978-9700

Specialties & Taxonomy Codes

Specialty
Physician Assistant - MedicalMedical

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