Vetzel, Lashaun Lee

Vetzel, Lashaun Lee is an individual health care provider with primary practice located at 3278 Mitchell Blvd , Moody Afb GA 31699-5645. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Medical, which is considered as her primary health care specialty. Vetzel, Lashaun Lee can be contacted via phone (229) 257-1459.

Contact Information

Primary practice address
3278 Mitchell Blvd Moody Afb GA 31699-5645
Phone: (229) 257-1459
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Medical 363AM0700X 002972 Georgia

Profile Details

NPI number 1194898635
LBN Legal business name Vetzel, Lashaun Lee
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 15th, 2006
Last updated Nov 15th, 2017 - 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 1194898635 NPPES
Georgia Other 970018519 RAILROAD MEDICARE
Georgia Other 1194898635 RAILROAD MEDICARE
Georgia Other 667002 RAILROAD MEDICARE
Georgia MEDICAID 100001360A RAILROAD MEDICARE

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