La, Lan Melanie

La, Lan Melanie is an individual health care provider with primary practice located at 400 Carillon Pkwy Ste 120 , St Petersburg FL 33716-1290. She recently has 2 registered licenses in different health care specialties including Dental Providers / Orthodontics and Dentofacial Orthopedics, Dental Providers / Dentist. Dental Providers / Orthodontics and Dentofacial Orthopedics is her primary health care specialty. La, Lan Melanie can be contacted via phone (727) 299-0728.

Contact Information

Primary practice address
400 Carillon Pkwy Ste 120 St Petersburg FL 33716-1290
Phone: (727) 299-0728
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Orthodontics and Dentofacial Orthopedics 1223X0400X DN21957 Florida
Dental Providers / Dentist 122300000X 2019016473 Missouri
Dental Providers / Dentist 122300000X DN21957 Florida
Dental Providers / Orthodontics and Dentofacial Orthopedics 1223X0400X 021002977 Illinois
Dental Providers / Orthodontics and Dentofacial Orthopedics 1223X0400X 2019016473 Missouri

Profile Details

NPI number 1316490246
LBN Legal business name La, Lan Melanie
Credentials Doctor of Dental Medicine (DMD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 27th, 2016
Last updated Mar 25th, 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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