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:
Map and Directions

Health care specialties

SpecialtyCodeLicense #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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1902954720 NPPES
California MEDICAID 00A724040

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