Individual
DR. JAN M LANOUETTE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
2 TAMPA GENERAL CIR FL 6, TAMPA, FL 33606-3603
(813) 974-2201
Mailing address
PO BOX 917770, ORLANDO, FL 32891-0001
Taxonomy
Speciality
Code
Description
License number
State
207VM0101X
Maternal & Fetal Medicine Physician
A64388
CA
207VM0101X
Maternal & Fetal Medicine Physician
Primary
ME132970
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
023424700
—
FL
01
—
DEV8L
BLUE CROSS BLUE SHIELD
FL
01
—
JF558Z
MEDICARE
FL
Enumeration date
06/19/2006
Last updated
10/20/2020
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