MEDICARE: DANIELLE LALANNE CPNP-PC

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	363LP0200X	Pediatric Nurse Practitioner	1040440	TX

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	1040440	OTHER	TX	APRN-CNP

General Provider Information

NPI Number	:	1578138590
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DANIELLE LALANNE CPNP-PC

Provider Business Mailing Address
First Line	:	3302 LINDER GREEN DRIVE
Second Line	:
City	:	SPRING
State	:	TX
Zip	:	77386-3415
Country	:	US
Telephone Number	:	281-939-5214
Fax Number	:

Provider Business Practice Location Address
First Line	:	18603 CHAMPION FOREST DR
Second Line	:
City	:	SPRING
State	:	TX
Zip	:	77379-5326
Country	:	US
Telephone Number	:	281-374-8882
Fax Number	:

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

Provider Enumeration Date	:	05/21/2021
Last Update Date	:	12/29/2022

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