LAKEISHA L PORTER

TEMPLE TERRACE, FL
NPI1063417889
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy363AM0700X Physician Assistant, Medical
(Licence: FL  PA9102987)
Enumeration Date2005-06-17
Last Update Date2007-07-08
Business Address
Miss LAKEISHA L PORTER PA-C
13020 N TELECOM PKWY
TEMPLE TERRACE, FL 33637-0925
Phone number: 813-978-9700
Mailing Address
Miss LAKEISHA L PORTER PA-C
5802 N 30TH ST
TAMPA, FL 33610-1469
Phone number: 813-235-5200
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