Provider Demographics
NPI:1073257036
Name:LAKEMAN, CARLEE (APRN)
Entity Type:Individual
Prefix:
First Name:CARLEE
Middle Name:
Last Name:LAKEMAN
Suffix:
Gender:F
Credentials:APRN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:160 JOHN F KENNEDY DR STE 101
Mailing Address - Street 2:
Mailing Address - City:ATLANTIS
Mailing Address - State:FL
Mailing Address - Zip Code:33462-6638
Mailing Address - Country:US
Mailing Address - Phone:561-964-1215
Mailing Address - Fax:561-964-1245
Practice Address - Street 1:160 JOHN F KENNEDY DR STE 101
Practice Address - Street 2:
Practice Address - City:ATLANTIS
Practice Address - State:FL
Practice Address - Zip Code:33462-6638
Practice Address - Country:US
Practice Address - Phone:561-964-1215
Practice Address - Fax:561-964-1245
Is Sole Proprietor?:No
Enumeration Date:2022-04-26
Last Update Date:2022-04-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLAPRN11019127363LP0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP0200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPediatrics