Individual
LANA ELDER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
300 SE HOSPITAL AVE, ER DEPARTMENT, STUART, FL 34994-2338
(772) 223-5995
Mailing address
110 S SEWALLS POINT RD, SEWALLS POINT, FL 34996-6319
(772) 214-9444
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
ME104494
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
001109400
—
FL
01
—
0E06122032
MEDICARE
FL
01
—
H25574
UPIN
FL
Enumeration date
07/20/2006
Last updated
10/01/2013
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