Lanham, Fallon
Lanham, Fallon is an individual health care provider with primary practice located at 601 5Th St S Ste 302 , Saint Petersburg FL 33701-4804. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as her primary health care specialty. Lanham, Fallon can be contacted via phone (813) 505-2377.Contact Information
Primary practice address
601 5Th St S Ste 302
Saint Petersburg FL 33701-4804
Phone: (813) 505-2377
Fax: (813) 200-3491
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant | 363A00000X | 9110340 | Florida |
Profile Details
| NPI number | 1053847160 |
|---|---|
| LBN Legal business name | Lanham, Fallon |
| Credentials | Physician's Assistant Certified (PA-C) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | May 10th, 2017 |
| Last updated | Sep 9th, 2019 - about 6 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1053847160 | NPPES |
| Florida | MEDICAID | 020882500 |
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