Individual
DR. ANNALYSSA LANEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DPT
Contact information
Practice address
1655 SE WALTON RD, PORT ST LUCIE, FL 34952-7657
(772) 337-1333
Mailing address
4305 S 25TH ST, FORT PIERCE, FL 34981-5004
(786) 234-8148
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
PT36681
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
PT36681
PT LICENSE
FL
Enumeration date
02/27/2022
Last updated
02/27/2022
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