Pendleton, Lanis

Pendleton, Lanis is an sole proprietor health care provider with primary practice located at 1835 Gilmore Ave , Lakeland FL 33805-3017. She recently has only one registered license in Nursing Service Providers / Registered Nurse, which is considered as her primary health care specialty. Pendleton, Lanis can be contacted via phone (863) 519-0575.

Contact Information

Primary practice address
1835 Gilmore Ave Lakeland FL 33805-3017
Phone: (863) 519-0575
Fax: (863) 582-9251
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Registered Nurse 163W00000X RN483442 Florida

Profile Details

NPI number 1881916831
LBN Legal business name Pendleton, Lanis
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Feb 18th, 2010
Last updated Mar 28th, 2013 - about 13 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.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1881916831 NPPES
Florida MEDICAID 1881916831

Popular Providers