Sam, Lanalee A

Sam, Lanalee A is an sole proprietor health care provider with primary practice located at 2466 E Commercial Blvd Suite 101, Fort Lauderdale FL 33308-4011. She recently has only one registered license in Other Service Providers / Specialist, which is considered as her primary health care specialty. Sam, Lanalee A can be contacted via phone (954) 776-4877.

Contact Information

Primary practice address
2466 E Commercial Blvd Suite 101 Fort Lauderdale FL 33308-4011
Phone: (954) 776-4877
Fax: (954) 229-9043
Website:
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Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Specialist 174400000X ME84457 Florida

Profile Details

NPI number 1134195837
LBN Legal business name Sam, Lanalee A
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Feb 23rd, 2006
Last updated Apr 14th, 2022 - about 4 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 1134195837 NPPES
Florida MEDICAID 266303100

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