Individual
LANANH LY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ARNP
Contact information
Practice address
11945 SAN JOSE BLVD STE 301, JACKSONVILLE, FL 32223-1627
(904) 260-9699
(904) 260-9695
Mailing address
PO BOX 45443, SALT LAKE CITY, UT 84145-0443
(904) 202-1032
(904) 376-4107
Taxonomy
Speciality
Code
Description
License number
State
363LP2300X
Primary Care Nurse Practitioner
Primary
ARNP9277382
FL
Other
Enumeration date
03/25/2017
Last updated
12/24/2018
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