MEDICARE: LINDSEY SUE LANO D.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
1	2251X0800X	Orthopedic Physical Therapist	PT25791	FL

General Provider Information

NPI Number	:	1447552542
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	LINDSEY SUE LANO D.P.T

Provider Business Mailing Address
First Line	:	634 N FEDERAL HWY
Second Line	:
City	:	FORT LAUDERDALE
State	:	FL
Zip	:	33304-4686
Country	:	US
Telephone Number	:	954-302-7717
Fax Number	:	954-302-7723

Provider Business Practice Location Address
First Line	:	634 N FEDERAL HWY
Second Line	:
City	:	FORT LAUDERDALE
State	:	FL
Zip	:	33304-4686
Country	:	US
Telephone Number	:	954-302-7717
Fax Number	:	954-302-7723

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	11/22/2010
Last Update Date	:	11/22/2010

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