Lelli, Katrina L

Lelli, Katrina L is an individual health care provider with primary practice located at 2398 Se Ocean Blvd , Stuart FL 34996-3310. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as her primary health care specialty. Lelli, Katrina L can be contacted via phone (772) 419-4834.

Contact Information

Primary practice address
2398 Se Ocean Blvd Stuart FL 34996-3310
Phone: (772) 419-4834
Fax: (772) 419-4833
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X

Profile Details

NPI number 1013126853
LBN Legal business name Lelli, Katrina L
Credentials RPAC
Entity Individual
Sole proprietor 1 No
Enumeration date May 21st, 2007
Last updated Nov 12th, 2018 - about 7 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 1013126853 NPPES
New York MEDICAID 02522278
New York Other 1PKD4
New York Other P00819028

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