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Individual
KATRINA L LELLI
Active
Individual
KATRINA L LELLI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RPAC
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1PKD4
FLORIDA BLUE
FL
01
—
P00819028
RAILROAD MEDICARE PIN
—
Enumeration date
05/21/2007
Last updated
08/02/2024
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