Lais, Rita Jean

Lais, Rita Jean is an individual health care provider with primary practice located at 3627 University Blvd S Suite 200, Jacksonville FL 32216-4230. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Obstetrics & Gynecology, which is considered as her primary health care specialty. Lais, Rita Jean can be contacted via phone (904) 296-3200.

Contact Information

Primary practice address
3627 University Blvd S Suite 200 Jacksonville FL 32216-4230
Phone: (904) 296-3200
Fax: (904) 296-0069
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Obstetrics & Gynecology 363LX0001X ARNP 2722902 Florida

Profile Details

NPI number 1558526103
LBN Legal business name Lais, Rita Jean
Credentials A.R.N.P.
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 23rd, 2008
Last updated Jun 14th, 2016 - about 8 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 1558526103 NPPES
Florida MEDICAID 001317500

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