Individual
MARY KATHLEEN LANOUE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NNP
Contact information
Practice address
601 E ROLLINS ST, ORLANDO, FL 32803-1248
(407) 303-2528
Mailing address
601 E ROLLINS ST, ORLANDO, FL 32803-1248
(407) 303-2528
Taxonomy
Speciality
Code
Description
License number
State
363LN0000X
Neonatal Nurse Practitioner
Primary
9487014
FL
363LN0005X
Critical Care Neonatal Nurse Practitioner
3011603
KY
Other
Enumeration date
08/18/2017
Last updated
04/23/2026
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