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Individual
LEA ANNA GODWIN-TART
Active
Individual
LEA ANNA GODWIN-TART
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
0010-12495
NC
363A00000X
Physician Assistant
9110077
FL
363A00000X
Physician Assistant
PA56983
CA
Other
Enumeration date
02/06/2017
Last updated
01/05/2023
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