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1346230653
STEPHANIE A LAGE
FORT MYERS, FL
NPI
1346230653
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
363AS0400X Physician Assistant, Surgical
(Licence: FL PA9102148)
Enumeration Date
2005-10-27
Last Update Date
2013-08-14
Business Address
-- STEPHANIE A LAGE PA-C
2780 CLEVELAND AVE SUITE 819
FORT MYERS, FL 33901-5858
Phone number: 239-343-3800
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Mailing Address
-- STEPHANIE A LAGE PA-C
PO BOX 2147
FORT MYERS, FL 33902-2147
Phone number: 239-424-1400
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