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Individual

LEESA SUZANNE LANKS

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
APRN

Contact information

Practice address
2415 N ORANGE AVE STE 700, ORLANDO, FL 32804-5521
(407) 303-2474
(407) 303-0680
Mailing address
2415 N ORANGE AVE STE 700, ORLANDO, FL 32804-5521
(407) 303-2474
(407) 303-0680

Taxonomy

Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
AP06124
LA
363L00000X
Nurse Practitioner
ARNP9299653
FL
363L00000X
Nurse Practitioner
R118899
MD
363LA2100X
Acute Care Nurse Practitioner
Primary
APRN11015673
FL
363LC0200X
Critical Care Medicine Nurse Practitioner
R118899
MD

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
037138800
DC
05
2118617
LA
05
510025900
MD
01
619422-01
BLUE CROSS/BLUE SHIELD
MD
Enumeration date
05/23/2006
Last updated
11/30/2021
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