Lalley, Diane E

Lalley, Diane E is an sole proprietor health care provider with primary practice located at 5998 N Us Highway 41 Ste A , Apollo Beach FL 33572-3133. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. Lalley, Diane E can be contacted via phone (813) 751-3570.

Contact Information

Primary practice address
5998 N Us Highway 41 Ste A Apollo Beach FL 33572-3133
Phone: (813) 751-3570
Fax: (813) 641-9001
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X ARNP9273761 Florida

Profile Details

NPI number 1922429794
LBN Legal business name Lalley, Diane E
Credentials FNP-BC
Entity Individual
Sole proprietor 1 Yes
Enumeration date Dec 22nd, 2013
Last updated Mar 16th, 2021 - about 3 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 1922429794 NPPES
Florida MEDICAID 108461900

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