Draper, Lonnie Mark

Draper, Lonnie Mark is an individual health care provider with primary practice located at 1300 Miccosukee Rd , Tallahassee FL 32308-5054. He recently has only one registered license in Allopathic & Osteopathic Physicians / Emergency Medicine, which is considered as his primary health care specialty. Draper, Lonnie Mark can be contacted via phone (850) 431-0756.

Contact Information

Primary practice address
1300 Miccosukee Rd Tallahassee FL 32308-5054
Phone: (850) 431-0756
Fax: (850) 431-0779
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Emergency Medicine 207P00000X ME59117 Florida

Profile Details

NPI number 1326012188
LBN Legal business name Draper, Lonnie Mark
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 16th, 2006
Last updated Sep 3rd, 2013 - about 11 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 1326012188 NPPES
Florida MEDICAID 051720800

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