Lalita Kummeth, ARNP
Nurse Practitioner in Jacksonville, FL. Individual provider (NPI-1).
NPI number1669913448
StatusActive
Last updated in NPPESOct 8, 2018
Details
- NPI
- 1669913448
- Entity type
- Individual (NPI-1)
- Name
- Lalita Kummeth
- Credential
- ARNP
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Mar 14, 2017
- Last updated
- Oct 8, 2018
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363L00000X | Nurse Practitioner | 9236154 | FL | Yes |
| 363LP2300X | Nurse Practitioner, Primary Care | 9236154 | FL |
Practice location
6484 Fort Caroline RdJacksonville, FL 32277
Phone 904-744-7300 · Fax 904-722-4271
Mailing address
6520 Fort Caroline RdJacksonville, FL 32277-2044
Phone 904-744-7300 · Fax 904-722-4271
Other practice locations
2122 University Blvd S
Jacksonville, FL 32216-8937
Jacksonville, FL 32216-8937
Phone 904-398-5614 · Fax 904-398-5617
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