Lanctot, Mary Johnson

Lanctot, Mary Johnson is an individual health care provider with primary practice located at 801 6Th St S , St Petersburg FL 33701-4816. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Pediatrics, which is considered as her primary health care specialty. Lanctot, Mary Johnson can be contacted via phone (727) 767-8281.

Contact Information

Primary practice address
801 6Th St S St Petersburg FL 33701-4816
Phone: (727) 767-8281
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Pediatrics 363LP0200X 9197354 Florida

Profile Details

NPI number 1346448339
LBN Legal business name Lanctot, Mary Johnson
Credentials ARNP
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 11th, 2007
Last updated Sep 18th, 2008 - about 16 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 1346448339 NPPES
Florida MEDICAID 306768800

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