Provider Demographics
NPI:1679560007
Name:HARRACKSINGH, LEA S (MD)
Entity type:Individual
Prefix:DR
First Name:LEA
Middle Name:S
Last Name:HARRACKSINGH
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
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Other - Credentials:
Mailing Address - Street 1:333 NW 70TH AVE
Mailing Address - Street 2:STE 206
Mailing Address - City:PLANTATION
Mailing Address - State:FL
Mailing Address - Zip Code:33317-2385
Mailing Address - Country:US
Mailing Address - Phone:954-797-6333
Mailing Address - Fax:954-587-6959
Practice Address - Street 1:333 NW 70TH AVE
Practice Address - Street 2:STE 206
Practice Address - City:PLANTATION
Practice Address - State:FL
Practice Address - Zip Code:33317-2385
Practice Address - Country:US
Practice Address - Phone:954-797-6333
Practice Address - Fax:954-587-6959
Is Sole Proprietor?:Yes
Enumeration Date:2005-09-30
Last Update Date:2024-05-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLME71598207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL45093OtherBCBS
320115158OtherBEECH ST
7111522OtherAETNA
H165OtherWELLCARE
0850263OtherCIGNA
1029923OtherCAREPLUS
170184OtherHUMANA
320115158OtherUNITED HEALTHCARE
241434OtherAUMED
G64963OtherVISTA