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General NPI Number Information
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NPI Number | 1992334502
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Entity Type | Individual
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Provider Name | LANNA LOPEZ FNP
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Gender | Female
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Dates
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Enumeration Date | 04/06/2020
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Last Update Date | 07/01/2026
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Provider Practice Location Address
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Address Line | 297 E HWY 50 STE 3
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City | CLERMONT
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State | FL
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Zip | 34711-2500
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Country | US
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Telephone | 407-274-9322
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Fax | 407-274-9907
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Provider Business Mailing Address
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Address Line | 555 SUMMERWOOD DR
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City | MINNEOLA
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State | FL
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Zip | 34715-7971
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Country | US
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Telephone | 646-314-3503
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | 11006875
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License Number State | FL
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Taxonomy #2
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Taxonomy Code | 363L00000X
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Taxonomy Name | Nurse Practitioner
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License Number | 95143736
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License Number State | CA
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