Lacerna-Kimbrell, Melinda L
Lacerna-Kimbrell, Melinda L is an sole proprietor health care provider with primary practice located at 5301 4Th Avenue Cir E , Bradenton FL 34208-5623. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Plastic Surgery, Allopathic & Osteopathic Physicians / Plastic and Reconstructive Surgery. Allopathic & Osteopathic Physicians / Plastic Surgery is her primary health care specialty. Lacerna-Kimbrell, Melinda L can be contacted via phone (941) 954-4500.Contact Information
Primary practice address
5301 4Th Avenue Cir E
Bradenton FL 34208-5623
Phone: (941) 954-4500
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Plastic Surgery | 208200000X | ME109505 | Florida |
| Allopathic & Osteopathic Physicians / Plastic and Reconstructive Surgery | 2086S0122X | A72404 | California |
Profile Details
| NPI number | 1902954720 |
|---|---|
| LBN Legal business name | Lacerna-Kimbrell, Melinda L |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jan 8th, 2007 |
| Last updated | Jul 13th, 2021 - about 5 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 | 1902954720 | NPPES |
| California | MEDICAID | 00A724040 |
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