Healthcare Provider Details

I. General information

NPI: 1780919969
Provider Name (Legal Business Name): JENNIFER L. LAMAN DO
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 10/06/2009
Last Update Date: 08/07/2024
Certification Date: 08/07/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

13235 STATE ROAD 52 STE 102
HUDSON FL
34669
US

IV. Provider business mailing address

5400 PINEHURST DR
SPRING HILL FL
34606-3833
US

V. Phone/Fax

Practice location:
  • Phone: 727-378-8503
  • Fax: 727-857-7807
Mailing address:
  • Phone: 352-277-5348
  • Fax: 352-606-2857

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License NumberOS11190
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: