Desmond, Lael
Desmond, Lael is an individual health care provider with primary practice located at 13681 Doctors Way , Fort Myers FL 33912-4300. He recently has only one registered license in Allopathic & Osteopathic Physicians / Emergency Medicine, which is considered as his primary health care specialty. Desmond, Lael can be contacted via phone (239) 343-3292.Contact Information
Primary practice address
13681 Doctors Way
Fort Myers FL 33912-4300
Phone: (239) 343-3292
Fax: (239) 343-3695
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Emergency Medicine | 207P00000X | ME93341 | Florida |
Profile Details
| NPI number | 1649229220 |
|---|---|
| LBN Legal business name | Desmond, Lael |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | May 9th, 2006 |
| Last updated | Jun 26th, 2024 - about 2 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1649229220 | NPPES |
| Florida | Other | 58092 | BLUE SHIELD |
| Florida | MEDICAID | 277003200 | BLUE SHIELD |
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