LARA EAST LANEVE, PA-C

Physician Assistant

Active Individual
NPI: 1992802912

Practice Address

4479 BAYMEADOWS RD
Jacksonville, FL 32217

Phone: (904) 731-8300

Specialties

Specialty Code Primary License
Physician Assistant 363A00000X Yes PA9103914 (FL)

Frequently Asked Questions

NPI 1992802912 is the National Provider Identifier for LARA EAST LANEVE, PA-C, a Physician Assistant provider located in Jacksonville, FL. This NPI was enumerated on September 20, 2006.
LARA EAST LANEVE, PA-C practices at 4479 BAYMEADOWS RD, Jacksonville, FL 32217.

Quick Facts

NPI
1992802912
Type
Individual
Enumerated
Sep 20, 2006
Last Updated
Nov 6, 2019

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