Individual provider · Type 1 NPI

Sally Lou Whitworth, PA-C

Medical Physician Assistant · Lakeland, FL

NPI number 1245514447 Active

Practice location

135 E. First Street
Lakeland, FL 33805-4609

Call (863) 686-2728 Map

Fax (863) 686-6737

Mailing address

P.o. Box 91988
Lakeland, FL 33804-1988

Specialties and licenses

TaxonomyCodeLicense
Medical Physician Assistant Primary 363AM0700XPA9106097 (FL)

Medical Physician Assistant: Definition to come...

2 other providers at this address

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About NPI 1245514447

Sally Lou Whitworth, PA-C's National Provider Identifier is 1245514447, issued on Oct 6, 2011. The primary taxonomy on file is Medical Physician Assistant (363AM0700X), and the practice location is in Lakeland, FL. The record was last updated on Oct 6, 2011.