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NPI Code Detail

MEDICARE: PATRICIA HANNING IBCLC

MEDICARE:   PATRICIA  HANNING  IBCLC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1174N00000XLactation Consultant (Non-RN)L-11398FL
2163W00000XRegistered NurseRN9316706FL

General Provider Information

NPI Number : 1053799387
Entity Type Code : Individual
Provider Name (Legal Business Name) : PATRICIA HANNING IBCLC
Provider Business Mailing Address
First Line : 2906 TRINITY COTTAGE DR
Second Line :
City : LAND O LAKES
State : FL
Zip : 34638-8134
Country : US
Telephone Number : 813-505-6491
Fax Number :
Provider Business Practice Location Address
First Line : 2906 TRINITY COTTAGE DR
Second Line :
City : LAND O LAKES
State : FL
Zip : 34638-8134
Country : US
Telephone Number : 813-505-6491
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/06/2015
Last Update Date : 10/05/2015

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Directions to “ PATRICIA HANNING IBCLC” Practice Location

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