Laurie K. Wisotsky, PA-C
Physician Assistant, Surgical in Tampa, FL. Individual provider (NPI-1).
NPI number1720161318
StatusActive
Last updated in NPPESJul 17, 2007
Details
- NPI
- 1720161318
- Entity type
- Individual (NPI-1)
- Name
- Laurie K. Wisotsky
- Credential
- PA-C
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Oct 24, 2006
- Last updated
- Jul 17, 2007
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363AS0400X | Physician Assistant, Surgical | PA9103684 | FL | Yes |
Other names
- Laurie K. Klein (Former Name)
Practice location
12880 Commodity PlC/O United Surgical Assistants, INC.
Tampa, FL 33626-3101
Phone 877-872-5788 · Fax 866-698-7272
Mailing address
Po Box 21686C/O United Surgical Assistants, INC.
Tampa, FL 33622-1686
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