Provider Demographics
NPI:1699365122
Name:SPRENGER, LAIKEN ALEXA (PA-C)
Entity Type:Individual
Prefix:
First Name:LAIKEN
Middle Name:ALEXA
Last Name:SPRENGER
Suffix:
Gender:F
Credentials:PA-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:555 WASHINGTON AVE STE 210
Mailing Address - Street 2:
Mailing Address - City:MIAMI BEACH
Mailing Address - State:FL
Mailing Address - Zip Code:33139-6639
Mailing Address - Country:US
Mailing Address - Phone:305-672-1233
Mailing Address - Fax:305-689-2823
Practice Address - Street 1:555 WASHINGTON AVE STE 210
Practice Address - Street 2:
Practice Address - City:MIAMI BEACH
Practice Address - State:FL
Practice Address - Zip Code:33139-6639
Practice Address - Country:US
Practice Address - Phone:305-672-1233
Practice Address - Fax:305-689-2823
Is Sole Proprietor?:No
Enumeration Date:2021-01-19
Last Update Date:2023-01-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLPA9114225363A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant