Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 363LC0200X | Nurse Practitioner - Critical Care Medicine | APRN9442349 | FL |
NPI | 1336305440 |
---|---|
Provider Name | Ms. Vanessa Laloggia |
First Address | Orlando, FL 32803-1248 |
Second Address | Orlando, FL 32803 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 29/07/2008 |
Last Update Date | 09/04/2019 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
024613300 | (05) | FL |
JE926Z | MEDICARE (01) | FL |