Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Lacie Manthripragada, PA-C

Individual provider Physician Assistant · NPI 1982018024

Lacie Manthripragada, PA-C is a Physician Assistant in Orlando, Florida. Qualified in 2013, 13 years ago. Practices with Luminis Health Medical Group, LLC, a 549-clinician group and accepts Medicare assignment. Licensed in Florida and Maryland.

Years since qualifying
13
Licensed in
FL, MD
In the registry since
2014
Specialties on file
2
What do these letters mean?
PA-C — Physician Assistant, Certified
A physician assistant who holds current national certification.

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Practice location Address checks out

615 E Princeton St Ste 101
Orlando, FL 32803-1435
Phone: (407) 236-0006
Fax: (407) 236-0007
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence PA9112408 (FL)
Physician Assistant Taxonomy 363A00000X · Licence C05294 (MD)

Record details

NPI number1982018024
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA-C
Sole proprietorNo
NPI enumeratedJune 17, 2014
Last updated in NPPESMay 5, 2020
Certification dateMay 5, 2020

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2013 (13 years in practice)
Group practice Luminis Health Medical Group, Llc — 549 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations4 on file with Medicare

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