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NPI Code Detail

MEDICARE: LANAE C THOMAS

MEDICARE: LANAE C THOMAS
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
1363LF0000XFamily Nurse PractitionerSP009698PA
2363LF0000XFamily Nurse Practitioner26NJ00168600NJ

General Provider Information

NPI Number : 1922277995
Entity Type Code : Individual
Provider Name (Legal Business Name) : LANAE C THOMAS
Provider Business Mailing Address
First Line : 201 DEFENSE HWY STE 260
Second Line :
City : ANNAPOLIS
State : MD
Zip : 21401-7096
Country : US
Telephone Number : 888-985-2727
Fax Number :
Provider Business Practice Location Address
First Line : 1400 ROUTE 70 E
Second Line :
City : CHERRY HILL
State : NJ
Zip : 08034-2240
Country : US
Telephone Number : 888-985-2727
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/25/2008
Last Update Date : 03/29/2023

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Directions to “ LANAE C THOMAS ” Practice Location

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