Healthcare Provider Details

I. General information

NPI: 1578138590
Provider Name (Legal Business Name): DANIELLE LALANNE CPNP-PC
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 05/21/2021
Last Update Date: 12/29/2022
Certification Date: 12/29/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

18603 CHAMPION FOREST DR
SPRING TX
77379-5326
US

IV. Provider business mailing address

3302 LINDER GREEN DRIVE
SPRING TX
77386-3415
US

V. Phone/Fax

Practice location:
  • Phone: 281-374-8882
  • Fax:
Mailing address:
  • Phone: 281-939-5214
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LP0200X
TaxonomyPediatric Nurse Practitioner
License Number1040440
License Number StateTX

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: