Landsberger, Mary

Landsberger, Mary is an individual health care provider with primary practice located at 4740 Exploration Ave , Lakeland FL 33812-3319. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner, which is considered as her primary health care specialty. Landsberger, Mary can be contacted via phone (863) 666-9020.

Contact Information

Primary practice address
4740 Exploration Ave Lakeland FL 33812-3319
Phone: (863) 666-9020
Fax: (863) 606-0887
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X ARNP1469442 Florida

Profile Details

NPI number 1083695266
LBN Legal business name Landsberger, Mary
Credentials ARNP
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 7th, 2005
Last updated Apr 4th, 2013 - about 12 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 1083695266 NPPES
Florida Other ARNP1469442 ARNP LICENSE NUMBER
Florida Other E5483A ARNP LICENSE NUMBER

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