Whalio Doctors

NPI 1023397528

Craig Lail, LMT

Practitioner Community Health Worker Palatka, FL

Practice location

Address
3800 Saint Johns Ave, Palatka, FL 32177-3902
Phone
(386) 325-8305
Fax
(386) 325-8304
Mailing address
325 Poinsetta Ave, Palatka, FL 32177-4123

Registered specialties

Community Health Worker Primary
Other Service Providers Taxonomy 172V00000X Licence MA 333888 (FL)

Registry record

NPI
1023397528
Entity type
Individual
Sex (as registered)
Male
NPI issued
15 Aug 2011
Record last updated
15 Aug 2011

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.