NPI 1235753427

Takita Lyshawn Lee

Practitioner Driver Lake City, FL

Practice location

Address: 682 NE Saint Clair St, Lake City, FL 32055-1719
Phone: (386) 623-5738

Registered specialties

Driver Primary

Other Service Providers Taxonomy 172A00000X

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Registry record

NPI: 1235753427
Entity type: Individual
Sex (as registered): Female
NPI issued: 3 Jun 2020
Record last updated: 3 Jun 2020

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.