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NPI Code Detail

MEDICARE: MRS. JEANNE MARIE LUFKIN ARNP

MEDICARE: MRS. JEANNE MARIE LUFKIN ARNP
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 Practitioner2632532FL

Other Identifiers

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

General Provider Information

NPI Number : 1477849206
Entity Type Code : Individual
Provider Name (Legal Business Name) : MRS. JEANNE MARIE LUFKIN ARNP
Provider Business Mailing Address
First Line : 12470 TELECOM DR
Second Line : STE 100
City : TEMPLE TERRACE
State : FL
Zip : 33637-0904
Country : US
Telephone Number : 813-915-5459
Fax Number : 855-225-2817
Provider Business Practice Location Address
First Line : 17511 BRUCE B DOWNS BLVD
Second Line :
City : TAMPA
State : FL
Zip : 33647-3211
Country : US
Telephone Number : 813-915-5459
Fax Number : 855-225-2817
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/20/2011
Last Update Date : 04/06/2017

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