Individual provider · Type 1 NPI

Lainey Medine Petty, PA-C

Physician Assistant · Eglin Afb, FL

NPI number 1053577213 Active

Practice location

307 Boatner Rd Ste 114
Eglin Afb, FL 32542-1302

Call (850) 883-8600 Map

Specialties and licenses

TaxonomyCodeLicense
Physician Assistant 363A00000XPA.2002.39RX (LA)
Physician Assistant Primary 363A00000XPA9107181 (FL)

Physician Assistant: A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, orde…

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About NPI 1053577213

Lainey Medine Petty, PA-C's National Provider Identifier is 1053577213, issued on Aug 6, 2008. The primary taxonomy on file is Physician Assistant (363A00000X), and the practice location is in Eglin Afb, FL. The record was last updated on Jun 22, 2020.