Dr. Tamelia D Lakraj-Edwards, M.D.
General Practice in Port Saint Lucie, FL. Individual provider (NPI-1).
NPI number1114367802
StatusActive
Last updated in NPPESSep 4, 2025
Details
- NPI
- 1114367802
- Entity type
- Individual (NPI-1)
- Name
- Dr. Tamelia D Lakraj-Edwards
- Credential
- M.D.
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Jun 27, 2013
- Certification date
- Sep 4, 2025
- Last updated
- Sep 4, 2025
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 208D00000X | General Practice | ME163629 | FL | Yes |
| 204D00000X | Neuromusculoskeletal Medicine & OMM | ME163629 | FL |
Other names
- Tamelia D Lakraj (Former Name)
Practice location
4531 Nw Glazbrook StPort Saint Lucie, FL 34983-1338
Phone 772-780-2396 · Fax 616-226-4454
Mailing address
4531 Nw Glazbrook StPort Saint Lucie, FL 34983-1338
Phone 772-780-2396
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All 8 General Practice Physician providers in Port Saint Lucie · All 2,132 providers in Port Saint Lucie
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