Lainie Shoults, PA-C

NPI #1497383053 in North Fort Myers, Florida

Provider Information

NPI Number
1497383053
Entity Type
Individual
Name
Lainie Shoults, PA-C
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Physician Assistant
Credential
PA-C
Enumeration Date
Mar 30, 2020
Last Updated
Mar 30, 2020

Practice Location

Address
4601 VINEWOOD CIR
State
Florida
ZIP Code
33903-4657
Phone
(239) 560-1925

Specialties & Taxonomy Codes

Specialty
Physician Assistant

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