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Individual

MS. JESSICA LINDSEY LANNING

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PA-C

Contact information

Practice address
1 TAMPA GENERAL CIR, TAMPA, FL 33606-3571
(813) 844-7000
Mailing address
PO BOX 917770, ORLANDO, FL 32891-0001

Taxonomy

Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
9110548
FL
363AS0400X
Surgical Physician Assistant
Primary
PA9110548
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
100976500
FL
01
OA0XO
BLUE CROSS BLUE SHIELD
FL
Enumeration date
08/14/2017
Last updated
02/19/2019
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