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NPI Code Detail

MEDICARE: LEESA SUZANNE LANKS APRN

MEDICARE:   LEESA SUZANNE LANKS  APRN
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
1363L00000XNurse PractitionerARNP9299653FL
2363L00000XNurse PractitionerAP06124LA
3363L00000XNurse PractitionerR118899MD
4363LC0200XCritical Care Medicine Nurse PractitionerR118899MD
5363LA2100XAcute Care Nurse PractitionerAPRN11015673FL

Other Identifiers

General Provider Information

NPI Number : 1679528566
Entity Type Code : Individual
Provider Name (Legal Business Name) : LEESA SUZANNE LANKS APRN
Provider Business Mailing Address
First Line : 2415 N ORANGE AVE STE 700
Second Line :
City : ORLANDO
State : FL
Zip : 32804-5521
Country : US
Telephone Number : 407-303-2474
Fax Number : 407-303-0680
Provider Business Practice Location Address
First Line : 2415 N ORANGE AVE STE 700
Second Line :
City : ORLANDO
State : FL
Zip : 32804-5521
Country : US
Telephone Number : 407-303-2474
Fax Number : 407-303-0680
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/23/2006
Last Update Date : 11/30/2021

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Directions to “ LEESA SUZANNE LANKS APRN” Practice Location

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