Individual
MR. ANTHONY V LANASA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
12272 US HIGHWAY 98 W, DESTIN, FL 32550-6939
(850) 269-0662
(850) 269-0745
Mailing address
12272 US HIGHWAY 98 W, DESTIN, FL 32550-6939
(850) 269-0662
(850) 269-0745
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
013145
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1186104
—
LA
Enumeration date
09/19/2005
Last updated
07/08/2007
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