person
Lashaun Lee Vetzel, PA-C
Medical Physician Assistant in Moody Afb, Georgia
NPI 1194898635

Lashaun Lee Vetzel is a Medical Physician Assistant based in Moody Afb, GA and is specialized in Medical. Lashaun Lee Vetzel practices in Moody Afb, GA and has the professional credentials of PA-C. The NPI Number for Lashaun Lee Vetzel is 1194898635 and holds a License No. 002972 (Georgia).

The current practice location address for Lashaun Lee Vetzel is 3278 Mitchell Blvd, Moody Afb, GA and can be reached out via phone at 229-257-1459.

Location: 3278 Mitchell Blvd, Moody Afb, GA, 31699-1500
person
Provider Profile Details
NPI Number
1194898635
Provider Name
Lashaun Lee Vetzel
Credential
PA-C
Provider Entity Type
Individual
Gender
Female
Address
3278 Mitchell Blvd, Moody Afb, GA, 31699-1500
Phone Number
229-257-1459
Fax Number
Provider Enumeration Date
11/15/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
970018519 01 GA RAILROAD MEDICARE
1194898635 01 GA NPI
667002 01 GA BLUE CROSS BLUE SHIELD GA
100001360A 05 GA
institution
Provider Business Practice Location Address Details
Address
3278 Mitchell Blvd
City
State
Zip
31699-5645
Phone Number
229-257-1459
Fax Number
person
Provider Business Mailing Address Details
Address
3278 Mitchell Blvd
City
State
Zip
31699-5645
Phone Number
229-257-1459
Fax Number
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Physician Assistant
Speciality
Medical
Taxonomy
License No.
002972 (Georgia)
Definition
Definition to come...
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