Loralee Koontz PA

NPI 1750490629 - Physician Assistant - 363A00000X

NPI Details
NPI 1750490629
Gender Female
Enumeration Date 08/30/2006
Last Updated 07/11/2012
Entity Type Individual
Active Over 10 years ago
Practice Location
2605 W. SWANN AVE
SUITE 300
TAMPA FL, 33609-4039, US
Phone (813) 872-9551
Fax (813) 872-9554
Business Location
2605 W. SWANN AVE
SUITE 300
TAMPA FL, 33609-4039, US
Phone (813) 872-9551
Fax (813) 872-9554
Toxanomy
Taxonomy Code 363A00000X
License State Florida
License Number PA9101349
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According to our database, Mrs. Loralee Koontz PA NPI is 1750490629, taxonomy code is 363A00000X and license number is PA9101349, license state is located at Florida. Loralee Koontz PA physically located at 2605 W. Swann Ave, Tampa FL, 33609-4039. NPI Number Loralee Koontz PA has the Individual type.

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1750490629 NPI number is provided on an as is basis without warranty of any kind. 1750490629 is maintained by the National Plan & Provider Enumeration System. The contents of Loralee Koontz PA are for informational purposes only.