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Individual

LANA M BLACKBURN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
RN

Contact information

Practice address
2614 PEMBROKE DR, PANAMA CITY, FL 32405-4371
(850) 769-4400
(850) 769-4489
Mailing address
5643 DOZIER RD, GREENWOOD, FL 32443-1811

Taxonomy

Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
RN2864782
FL

Other

Enumeration date
10/04/2006
Last updated
07/09/2007
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