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NPI Code Detail

MEDICARE: LANA KHATIB

MEDICARE: LANA KHATIB
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
1390200000XStudent in an Organized Health Care Education/Training ProgramFL

General Provider Information

NPI Number : 1679415707
Entity Type Code : Individual
Provider Name (Legal Business Name) : LANA KHATIB
Provider Business Mailing Address
First Line : 206 2ND ST E
Second Line :
City : BRADENTON
State : FL
Zip : 34208-1042
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 206 2ND ST E
Second Line :
City : BRADENTON
State : FL
Zip : 34208-1042
Country : US
Telephone Number : 941-716-5111
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/07/2026
Last Update Date : 04/07/2026

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Directions to “ LANA KHATIB ” Practice Location

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These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

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