Provider Demographics
NPI:1043606262
Name:LAMAS, KALEY RAE SPEROS (PA-C)
Entity Type:Individual
Prefix:MRS
First Name:KALEY
Middle Name:RAE SPEROS
Last Name:LAMAS
Suffix:
Gender:F
Credentials:PA-C
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Mailing Address - Street 1:59 EXECUTIVE PARK S
Mailing Address - Street 2:STE 3000
Mailing Address - City:ATLANTA
Mailing Address - State:GA
Mailing Address - Zip Code:30329-2208
Mailing Address - Country:US
Mailing Address - Phone:404-778-6227
Mailing Address - Fax:404-778-6310
Practice Address - Street 1:59 EXECUTIVE PARK S
Practice Address - Street 2:STE 3000
Practice Address - City:ATLANTA
Practice Address - State:GA
Practice Address - Zip Code:30329-2208
Practice Address - Country:US
Practice Address - Phone:404-778-6227
Practice Address - Fax:404-778-6310
Is Sole Proprietor?:No
Enumeration Date:2015-04-14
Last Update Date:2019-08-09
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
GA7530363A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant