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1508130071
LANA HANSCOM
LAKELAND, FL
NPI
1508130071
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
363LA2200X Nurse Practitioner, Adult Health
(Licence: FL 2621092)
Enumeration Date
2012-03-01
Last Update Date
2012-03-01
Business Address
-- LANA HANSCOM ARNP-C
5108 LEWELLYN RD
LAKELAND, FL 33810-0789
Phone number: 863-581-6811
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Mailing Address
-- LANA HANSCOM ARNP-C
5108 LEWELLYN ROAD
LAKELAND, FL 33810-0789
Phone number: 863-581-6811
Copy
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