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NPI Code Detail

MEDICARE: MS. MICHELE M LANEVE P.T.

MEDICARE: MS. MICHELE M LANEVE P.T.
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
12251X0800XOrthopedic Physical Therapist0105003416VA

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1TRICAREOTHERVA228948320
2MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1447258611
Entity Type Code : Individual
Provider Name (Legal Business Name) : MS. MICHELE M LANEVE P.T.
Provider Business Mailing Address
First Line : 1849 OLD DONATION PKWY
Second Line :
City : VIRGINIA BEACH
State : VA
Zip : 23454-3004
Country : US
Telephone Number : 757-422-8476
Fax Number : 757-425-8476
Provider Business Practice Location Address
First Line : 1849 OLD DONATION PKWY
Second Line :
City : VIRGINIA BEACH
State : VA
Zip : 23454-3004
Country : US
Telephone Number : 757-422-8476
Fax Number : 757-425-8476
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/12/2005
Last Update Date : 03/21/2011

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