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LAKETRIA POPE LPN NPI 1700342060


NPI Information

NPI: 1700342060
Provider Name: LAKETRIA POPE, LPN
Classification: Clinic/Center - 261QD1600X
Entity Type: Individual

Specialization: Developmental Disabilities

Address:
300 WILSHIRE BLVD STE 221
CASSELBERRY, FL
ZIP 32707
Phone: (407) 900-0519
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Laketria Pope, LPN is a developmental disabilities clinic center in Casselberry, FL. The provider is an entity, facility, or distinct part of a facility providing comprehensive, multidiscipline diagnostic, treatment, therapy, training, and counseling services to children with congenital disorders that precipitate developmental delays and in many instances mental deficiencies (e.g., Cerebral Palsy, metabolic disorders, Sturge-Weber Syndrome, etc.). Laketria Pope, LPN NPI is 1700342060. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

300 WILSHIRE BLVD STE 221
CASSELBERRY, FL
ZIP 32707-369
Phone: (407) 900-0519

The enumeration date for this NPI number is 2/12/2019 and was last updated on 2/27/2019.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1164W00000XLicensed Practical Nurse5235545FLORIDANo
2261QD1600XClinic/CenterDevelopmental DisabilitiesYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1101367700MEDICAIDFLORIDA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.