Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207VM0101X | Gynecologist - Maternal & Fetal Medicine | A64388 | CA |
Y | 207VM0101X | Gynecologist - Maternal & Fetal Medicine | ME132970 | FL |
NPI | 1275578635 |
---|---|
Provider Name | Dr. Jan M Lanouette |
First Address | Orlando, FL 32891-0001 |
Second Address | Tampa, FL 33606-3603 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 19/06/2006 |
Last Update Date | 20/10/2020 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
023424700 | (05) | FL |
DEV8L | BLUE CROSS BLUE SHIELD (01) | FL |
F84200 | (02) | CA |
JF558Z | MEDICARE (01) | FL |