MEDICARE: DR. STEFANIE JUDITH LAMANNA PHD, ARNP, FNP-C

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	363L00000X	Nurse Practitioner	ARNP2885682	FL

General Provider Information

NPI Number	:	1548205644
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. STEFANIE JUDITH LAMANNA PHD, ARNP, FNP-C

Provider Business Mailing Address
First Line	:	6975 THICKET TRACE
Second Line	:
City	:	LAKE WORTH
State	:	FL
Zip	:	33467
Country	:	US
Telephone Number	:	561-715-9717
Fax Number	:	561-805-2222

Provider Business Practice Location Address
First Line	:	840 US HIGHWAY 1
Second Line	:	SUITE 120
City	:	NORTH PALM BEACH
State	:	FL
Zip	:	33408-3830
Country	:	US
Telephone Number	:	561-776-8300
Fax Number	:	561-776-0727

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

Provider Enumeration Date	:	06/20/2006
Last Update Date	:	01/13/2014

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