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Takita Lyshawn Lee
Driver in Lake City, Florida
NPI 1235753427

Takita Lyshawn Lee is a Driver based in Lake City, FL. Takita Lyshawn Lee practices in Lake City, FL. The NPI Number for Takita Lyshawn Lee is 1235753427 and holds a License No. (Florida).

The current practice location address for Takita Lyshawn Lee is 682 Ne Saint Clair St, Lake City, FL and can be reached out via phone at 386-623-5738.

Location: 682 Ne Saint Clair St, Lake City, FL, 32055-1719
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1235753427
Provider Name
Takita Lyshawn Lee
Credential
Provider Entity Type
Individual
Gender
Female
Address
682 Ne Saint Clair St, Lake City, FL, 32055-1719
Phone Number
386-623-5738
Fax Number
Provider Enumeration Date
06/03/2020
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
682 Ne Saint Clair St
City
Lake City
State
Florida
Zip
32055-1719
Phone Number
386-623-5738
Fax Number
person
Provider Business Mailing Address Details
Address
682 Ne Saint Clair St
City
Lake City
State
Florida
Zip
32055-1719
Phone Number
386-623-5738
Fax Number
person
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Driver
Speciality
-
Taxonomy
172A00000X
License No.
(Florida)
Definition
A person employed to operate a motor vehicle as a carrier of persons or property.
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