Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
LAINEY MEDINE PETTY, PA-C
ActiveLAINEY MEDINE PETTY, PA-C is a Physician Assistant healthcare provider located in EGLIN AFB, Florida. NPI 1053577213 is currently active in the NPPES registry. Verify at CMS.
Physician Assistant · EGLIN AFB, FL
Registration Details
- NPI Number
- 1053577213
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Aug 6, 2008 (17.980758784365 yrs)
- Last Updated
- Jun 22, 2020
- Licenses
-
PA.2002.39RX (LA)PA9107181 (FL)
Practice Information
- Address
-
307 BOATNER RD STE 114EGLIN AFB, FL, 325421302Browse FL providers · Browse ZIP 32542
- Phone
- 8508838600
- Primary Specialty
-
Physician Assistant
363A00000X
- Additional Specialty
- Physician Assistant
Other Physician Assistant Providers in EGLIN AFB, FL
| Name | Credential | NPI |
|---|---|---|
| THOMAS L. WILLIAMS | PA-C | 1245220243 |
| KYLE GENE COOPER | PA-C | 1982786380 |
| MRS. KIMBERLY ANNE BERGGREN | PA-C | 1730349242 |
| SUSAN KAY VAN NEVEL | P.A. | 1356590392 |
| BENJAMIN DAVID INGRAM | PA | 1750611216 |
| MR. JASON THOMAS CRAYS | PA-C | 1154640019 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.