Individual
CRAIG LAIL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LMT
Contact information
Practice address
3800 SAINT JOHNS AVE, PALATKA, FL 32177-3902
(386) 325-8305
(386) 325-8304
Mailing address
325 POINSETTA AVE, PALATKA, FL 32177-4123
(386) 325-8305
(386) 325-8304
Taxonomy
Speciality
Code
Description
License number
State
172V00000X
Community Health Worker
Primary
MA 333888
FL
Other
Enumeration date
08/15/2011
Last updated
08/15/2011
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