Provider Demographics
NPI:1114367802
Name:LAKRAJ-EDWARDS, TAMELIA D (MD)
Entity type:Individual
Prefix:DR
First Name:TAMELIA
Middle Name:D
Last Name:LAKRAJ-EDWARDS
Suffix:
Gender:F
Credentials:MD
Other - Prefix:DR
Other - First Name:TAMELIA
Other - Middle Name:D
Other - Last Name:LAKRAJ
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MD
Mailing Address - Street 1:4531 NW GLAZBROOK ST
Mailing Address - Street 2:
Mailing Address - City:PORT SAINT LUCIE
Mailing Address - State:FL
Mailing Address - Zip Code:34983-1338
Mailing Address - Country:US
Mailing Address - Phone:772-780-2396
Mailing Address - Fax:
Practice Address - Street 1:4531 NW GLAZBROOK ST
Practice Address - Street 2:
Practice Address - City:PORT SAINT LUCIE
Practice Address - State:FL
Practice Address - Zip Code:34983-1338
Practice Address - Country:US
Practice Address - Phone:772-780-2396
Practice Address - Fax:616-226-4454
Is Sole Proprietor?:No
Enumeration Date:2013-06-27
Last Update Date:2025-09-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLME163629208D00000X, 204D00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208D00000XAllopathic & Osteopathic PhysiciansGeneral Practice
No204D00000XAllopathic & Osteopathic PhysiciansNeuromusculoskeletal Medicine & OMM