Individual
LETTY PROBASCO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
MT221341
PA
207RR0500X
Rheumatology Physician
Primary
95195
SC
207RR0500X
Rheumatology Physician
MT221341
PA
Other
Enumeration date
06/06/2020
Last updated
10/02/2025
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