Provider Demographics
NPI:1669340790
Name:KUGELMANN, ELIZABETH LEE (LCGC)
Entity type:Individual
Prefix:
First Name:ELIZABETH
Middle Name:LEE
Last Name:KUGELMANN
Suffix:
Gender:X
Credentials:LCGC
Other - Prefix:
Other - First Name:LEE
Other - Middle Name:
Other - Last Name:KUGELMANN
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:LCGC
Mailing Address - Street 1:111 NE 4TH ST
Mailing Address - Street 2:
Mailing Address - City:GAINESVILLE
Mailing Address - State:FL
Mailing Address - Zip Code:32601-5492
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:3009 SW WILLISTON RD
Practice Address - Street 2:
Practice Address - City:GAINESVILLE
Practice Address - State:FL
Practice Address - Zip Code:32608-3928
Practice Address - Country:US
Practice Address - Phone:352-294-5400
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-10-29
Last Update Date:2025-10-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLGC123170300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes170300000XOther Service ProvidersGenetic Counselor, MS