Individual
LANAY L SAMUELSON
Active
Individual
LANAY L SAMUELSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ANP
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
00000000
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2011016785
NATIONAL CERTIFICATION - ANCC
IL
Enumeration date
06/13/2012
Last updated
06/07/2024
Update your record
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