Flannigan, Lavonda

Flannigan, Lavonda is an individual health care provider with primary practice located at 1500 S Main St , Fort Worth TX 76104-4917. She recently has 2 registered licenses in different health care specialties including Nursing Service Providers / Registered Nurse, Nursing Service Providers / Licensed Vocational Nurse. Nursing Service Providers / Registered Nurse is her primary health care specialty. Flannigan, Lavonda can be contacted via phone (817) 702-7375.

Contact Information

Primary practice address
1500 S Main St Fort Worth TX 76104-4917
Phone: (817) 702-7375
Fax: (817) 702-2787
Website:
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Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Registered Nurse 163W00000X 2500834 Minnesota
Nursing Service Providers / Licensed Vocational Nurse 164X00000X 281266 California
Nursing Service Providers / Registered Nurse 163W00000X 988991 Texas

Profile Details

NPI number 1740697846
LBN Legal business name Flannigan, Lavonda
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 21st, 2014
Last updated Feb 19th, 2024 - about 2 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1740697846 NPPES
California MEDICAID 11241000383

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