=====================================================
General NPI Number Information
=====================================================
NPI Number | 1578921649
-----------------------------------------------------
Entity Type | Individual
-----------------------------------------------------
Provider Name | MARGARET LALONDE ARNP
-----------------------------------------------------
Gender | Female
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 02/04/2016
-----------------------------------------------------
Last Update Date | 09/12/2016
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 210 JUPITER LAKES BLVD SUITE 4104
-----------------------------------------------------
City | JUPITER
-----------------------------------------------------
State | FL
-----------------------------------------------------
Zip | 33458-7191
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 561-743-9077
-----------------------------------------------------
Fax | 561-743-9377
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 981 MILL CREEK DR
-----------------------------------------------------
City | PALM BEACH GARDENS
-----------------------------------------------------
State | FL
-----------------------------------------------------
Zip | 33410-1512
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 561-358-3345
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position |
-----------------------------------------------------
Name |
-----------------------------------------------------
Credential |
-----------------------------------------------------
Telephone |
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 363L00000X
-----------------------------------------------------
Taxonomy Name | Nurse Practitioner
-----------------------------------------------------
License Number | ARNP 9330507
-----------------------------------------------------
License Number State | FL
-----------------------------------------------------