Lukas Davis, PA-C | |
13279 N Cleveland Ave, North Fort Myers, FL 33903-4818 | |
(239) 652-4111 | |
(239) 652-4105 |
Full Name | Lukas Davis |
---|---|
Gender | Male |
Speciality | Physician Assistant |
Location | 13279 N Cleveland Ave, North Fort Myers, Florida |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1720815244 | NPI | - | NPPES |
124297700 | Medicaid | FL |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363A00000X | Physician Assistant | PA9119322 (Florida) | Primary |
Mailing Address | Practice Location Address |
---|---|
Lukas Davis, PA-C Po Box 2147, Fort Myers, FL 33902-2147 Ph: (239) 652-4111 | Lukas Davis, PA-C 13279 N Cleveland Ave, North Fort Myers, FL 33903-4818 Ph: (239) 652-4111 |
Lainie Shoults, PA-C Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 4601 Vinewood Cir, North Fort Myers, FL 33903 Phone: 239-560-1925 | |
Ms. Yeidhit Cherenek Randall, PA Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 18900 N Tamiami Trl, Suite 9, North Fort Myers, FL 33903 Phone: 239-567-1000 Fax: 239-567-1008 |