| Lashaun Lee Vetzel, PA-C | |
|
3278 Mitchell Blvd, Moody Afb, GA 31699-5645 | |
| (229) 257-1459 | |
| Not Available |
| Full Name | Lashaun Lee Vetzel |
|---|---|
| Gender | Female |
| Speciality | Physician Assistant - Medical |
| Location | 3278 Mitchell Blvd, Moody Afb, Georgia |
| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1194898635 | NPI | - | NPPES |
| 970018519 | Other | GA | RAILROAD MEDICARE |
| 1194898635 | Other | GA | NPI |
| 667002 | Other | GA | BLUE CROSS BLUE SHIELD GA |
| 100001360A | Medicaid | GA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363AM0700X | Physician Assistant - Medical | 002972 (Georgia) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Lashaun Lee Vetzel, PA-C 23 Rd Mtg, 3278 Mitchell Blvd, Moody Afb, GA 31699-1500 Ph: (229) 257-1459 | Lashaun Lee Vetzel, PA-C 3278 Mitchell Blvd, Moody Afb, GA 31699-5645 Ph: (229) 257-1459 |
Mrs. Cindy Catherine Rullo, Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 3278 Mitchell Blvd, Moody Afb, GA 31699 Phone: 229-257-2778 | |
Shawn Philip Knight, PA-C Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 3278 Mitchell Blvd, Moody Afb, GA 31699 Phone: 229-257-6144 | |
Mrs. Jennifer Paccassi, PA-C Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 3280 Mitchell Blvd, Moody Afb, GA 31699 Phone: 229-257-2778 | |
Robert Niewoonder, PA-C Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 3278 Mitchell Blvd, Moody Afb, GA 31699 Phone: 229-292-3719 | |
Gregory Ford, PA-C Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 3278 Mitchell Blvd, Moody Afb, GA 31699 Phone: 229-257-5820 | |
Ryan Woolfe, PA-C Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 3280 Mitchell Blvd, Moody Afb, GA 31699 Phone: 229-257-2778 |