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Individual
MAKENZIE JEAN LANNON
Active
Individual
MAKENZIE JEAN LANNON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP-BC
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
NP95025664
CA
363LF0000X
Family Nurse Practitioner
F-351165
NY
363LF0000X
Family Nurse Practitioner
NP95025664
CA
Other
Enumeration date
09/22/2023
Last updated
05/01/2025
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