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
Phone: (727) 381-1144
Fax:
Website:
Health care specialties
| Specialty | Code | License # | 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1437693082 | NPPES |
| Florida | MEDICAID | 020255100 |
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