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Miss Lakeisha L Porter, PA-C
Medical Physician Assistant in Temple Terrace, Florida
NPI 1063417889

Lakeisha L Porter is a Medical Physician Assistant based in Tampa, FL and is specialized in Medical. Lakeisha L Porter practices in Temple Terrace, FL and has the professional credentials of PA-C. The NPI Number for Lakeisha L Porter is 1063417889 and holds a License No. PA9102987 (Florida).

The current practice location address for Lakeisha L Porter is 13020 N Telecom Pkwy, Temple Terrace, FL and can be reached out via phone at 813-978-9700 and via fax at 813-972-5055. You can also correspond with Lakeisha L Porter through the mailing address at 5802 N 30TH ST, TAMPA, FL - 33610-1469 (mailing address contact number: 813-235-5200).

Location: 13020 N Telecom Pkwy, Temple Terrace, FL, 33610-1469
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Provider Profile Details
NPI Number
1063417889
Provider Name
Lakeisha L Porter
Credential
PA-C
Provider Entity Type
Individual
Gender
Female
Address
13020 N Telecom Pkwy, Temple Terrace, FL, 33610-1469
Phone Number
813-978-9700
Fax Number
813-972-5055
Provider Enumeration Date
06/17/2005
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
29192524 05 FL
institution
Provider Business Practice Location Address Details
Address
13020 N Telecom Pkwy
City
State
Zip
33637-0925
Phone Number
813-978-9700
Fax Number
813-972-5055
person
Provider Business Mailing Address Details
Address
13020 N Telecom Pkwy
City
State
Zip
33637-0925
Phone Number
813-978-9700
Fax Number
813-972-5055
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Physician Assistant
Speciality
Medical
Taxonomy
License No.
PA9102987 (Florida)
Definition
Definition to come...
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