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Individual
MRS. LETY ELIZABETH COSTA
Active
Individual
MRS. LETY ELIZABETH COSTA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
ME158393
FL
207R00000X
Internal Medicine Physician
Primary
A187054
CA
363A00000X
Physician Assistant
680
NE
363A00000X
Physician Assistant
PA17517
CA
363LF0000X
Family Nurse Practitioner
110879
NE
Other
Enumeration date
10/14/2006
Last updated
08/01/2025
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