Lynne M Lacey Crandall in North Port - Nurse Practitioner

Lynne M Lacey Crandall - NPI 1104932623

Lynne M Lacey Crandall is a Nurse Practitioner in North Port, Florida. Lynne M Lacey Crandall practices all healthcare services and medical treatments related to Nurse Practitioner. The NPI Number for Lynne M Lacey Crandall is 1104932623. The last update date is 2007-07-08.

Lynne M Lacey Crandall's current location address is 13815 Tamiami Trl, North Port, Florida. You can contact this provider via phone number 9414264900 and fax number 9414263994. The mailing address for Lynne M Lacey Crandall is 13815 Tamiami Trl, North Port, Florida. To know further, please read the information below!

Provider Profile Detail

Provider Name Lynne M Lacey Crandall
Address 13815 Tamiami Trl, North Port, Florida
Phone Number 9414264900
Fax Number 9414263994
Sole Proprietor N
Credentials MS, CNS, A

NPI Number Detail

NPI Number 1104932623
Provider Enumeration Date 2006-08-21
Last Updated Date 2007-07-08

Provider Mailing Address Detail

Address 13815 Tamiami Trl
City North Port
State Florida (FL)
Post Code 342872069
Phone Number 9414264900
Fax Number 9414263994

Provider's Primary Taxonomy Detail

Speciality Nurse Practitioner
Taxonomy 363L00000X
Licence No ARNP3380712
Definition:
(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certifi

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FAQs about Lynne M Lacey Crandall

What is the unique identifier code issued to Lynne M Lacey Crandall by the Centers for Medicare & Medicaid Services?

The Lynne M Lacey Crandall has been assigned the NPI (National Provider Identifier) 1104932623. This 10-digit code serves as a unique identification number for healthcare providers issued by the Centers for Medicare & Medicaid Services (CMS).

Could you provide the complete address where Lynne M Lacey Crandall is physically located?

The Lynne M Lacey Crandall is situated at the following address: 13815 Tamiami Trl, North Port, FL 342872069.

What is Lynne M Lacey Crandall's primary field of medical specialization, and what is the corresponding taxonomy classification code for this area of expertise?

The primary field of medical specialization for Lynne M Lacey Crandall is Nurse Practitioner, and the taxonomy classification code that categorizes this area of expertise is 363L00000X.

On what date was the 1104932623 assigned to Lynne M Lacey Crandall?

The Lynne M Lacey Crandall was issued its 1104932623 on 2006-08-21, which is the date when this unique identifier was assigned to the organization by the Centers for Medicare & Medicaid Services.

As of what date was the information regarding Lynne M Lacey Crandall, such as address, specialty, and other details, last verified and confirmed to be up-to-date?

The information related to Lynne M Lacey Crandall, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2007-07-08.

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