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NPI Code Detail

MEDICARE: LANI ANDERSON NP

MEDICARE: LANI ANDERSON NP
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
1363LF0000XFamily Nurse PractitionerAPRN.CNP.0037454OH
2363LF0000XFamily Nurse PractitionerRN.428612OH

General Provider Information

NPI Number : 1124853577
Entity Type Code : Individual
Provider Name (Legal Business Name) : LANI ANDERSON NP
Provider Business Mailing Address
First Line : 1340 BELMONT AVE STE 2300
Second Line :
City : YOUNGSTOWN
State : OH
Zip : 44504-1129
Country : US
Telephone Number : 330-746-1488
Fax Number : 330-746-5611
Provider Business Practice Location Address
First Line : 807 SOUTHWESTERN RUN
Second Line :
City : YOUNGSTOWN
State : OH
Zip : 44514-3688
Country : US
Telephone Number : 330-729-0059
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/05/2024
Last Update Date : 02/05/2026

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Directions to “ LANI ANDERSON NP” Practice Location

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