Doctor profile · Federal record

Dr. Mallory Putnam, PA

Medical Physician Assistant · Lakeland, FL

  • NPI 1336493428
  • 14 yrs on file
  • Female
  • Solo practice
  • No sanctions

Practice & contact

NPPES Updated May 11, 2026
Primary practice
2615 Fairmount Ave
Lakeland, FL 338033159
(863) 661-3887
Mailing address
1324 Lakeland Hills Blvd
Lakeland, FL 338054543

Credentials & registration

NPPES · NUCC
NPI registered
October 2012 — 14 yrs on file
Profile last updated
January 30, 2017
Specialty taxonomy
363AM0700X — NUCC code
State license (1)
Florida #PA9106745

Federal sanctions & exclusions

OIG LEIE Updated May 11, 2026

No sanctions, exclusions or revocations on file

Checked against OIG LEIE on NPI 1336493428. Last verified May 11, 2026.

Open Payments

Industry payments received

CMS Open Payments
All-time total
$29
Transactions
2
Manufacturers
2
Payer (manufacturer) Industry Txns Amount
Abbvie INC. 1 $14.73
Abbott Laboratories 1 $14.03

By nature of payment

Food and Beverage
$29

Medicare Part D · 2023

Top prescriptions

CMS Part D Prescriber
Total claims
36
Patients
36
Total drug cost
$143
Drug Type Claims Patients Total cost
Cyclobenzaprine Hcl Generic 20 20 $77
Naproxen Generic 16 16 $67

Frequently asked questions

Auto-generated from federal data
What is Dr. Mallory Putnam's medical specialty?
Dr. Mallory Putnam practices Medical Physician Assistant in Lakeland, FL.
Where does Dr. Mallory Putnam practice?
Dr. Mallory Putnam practices at 2615 Fairmount Ave, Lakeland, FL 338033159. Office phone: 8636613887.
What is Dr. Mallory Putnam's NPI?
Dr. Mallory Putnam's National Provider Identifier (NPI) is 1336493428, issued by NPPES.