LAWANDA S FANTROY

MOBILE, AL
NPI1093272874
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363LA2100X Nurse Practitioner, Acute Care
(Licence: AL  1-122621)
Additional Taxonomies363LA2200X Nurse Practitioner, Adult Health
(Licence: MN  20629)
Enumeration Date2019-02-27
Last Update Date2024-02-29
Business Address
LAWANDA S FANTROY
1700 SPRING HILL AVE STE 100
MOBILE, AL 36604-1416
Phone number: 251-435-1200
Mailing Address
LAWANDA S FANTROY
4361 TERRACE DR
MOSS POINT, MS 39563-5635
Phone number: 228-235-6015