Medical school: UNIVERSITY OF MISSISSIPPI SCHOOL OF MEDICINE
Graduated: 1981
Also: PLASTIC AND RECONSTRUCTIVE SURGERY
NPI: 1124028618
Practice Locations (1)
LAKE ENT AND FPS, PA
601 E DIXIE AVE, PLAZA 901
LEESBURG, FL 347485953
3527282404
Source: CMS National Downloadable File, September 2026.