Individual
LYA BASHA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DPM
Contact information
Practice address
1700 N MCMULLEN BOOTH RD STE A2-2, CLEARWATER, FL 33759-2100
(727) 725-2719
Mailing address
1700 N MCMULLEN BOOTH RD STE A2-2, CLEARWATER, FL 33759-2100
(727) 725-2719
Taxonomy
Speciality
Code
Description
License number
State
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
1071710
MA
Other
Enumeration date
02/07/2019
Last updated
08/23/2023
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