Lepak-Long, Erica Lynsey

Lepak-Long, Erica Lynsey is an individual health care provider with primary practice located at 6350 Central Ave , St Petersburg FL 33707-1430. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Medical, which is considered as her primary health care specialty. Lepak-Long, Erica Lynsey can be contacted via phone (727) 381-1144.

Contact Information

Primary practice address
6350 Central Ave St Petersburg FL 33707-1430
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Medical 363AM0700X PA9110115 Florida

Profile Details

NPI number 1437693082
LBN Legal business name Lepak-Long, Erica Lynsey
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 15th, 2016
Last updated Apr 4th, 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1437693082 NPPES
Florida MEDICAID 020255100

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