Individual
STEPHANIE LANOUE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
521 W STATE ROAD 434 STE 307, LONGWOOD, FL 32750-5166
(321) 841-6444
(407) 650-1307
Mailing address
521 W STATE ROAD 434 STE 307, LONGWOOD, FL 32750-5166
(321) 841-6444
(407) 650-1307
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
APRN11004674
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
104659100
—
FL
Enumeration date
10/17/2019
Last updated
01/14/2020
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