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NPI Code Detail

MEDICARE: LILIANA B LANDSMAN

MEDICARE: LILIANA B LANDSMAN
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
1103K00000XBehavior Analyst1-18-33850FL

General Provider Information

NPI Number : 1750742227
Entity Type Code : Individual
Provider Name (Legal Business Name) : LILIANA B LANDSMAN
Provider Business Mailing Address
First Line : 175 MIDDLE ST UNIT 1201
Second Line :
City : LAKE MARY
State : FL
Zip : 32746-3625
Country : US
Telephone Number : 407-955-4001
Fax Number :
Provider Business Practice Location Address
First Line : 11476 S APOPKA VINELAND RD STE 118
Second Line :
City : ORLANDO
State : FL
Zip : 32836-7006
Country : US
Telephone Number : 407-955-4001
Fax Number : 407-745-0738
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/11/2016
Last Update Date : 02/11/2019

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Directions to “ LILIANA B LANDSMAN ” Practice Location

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