Renegar, Deborah Lynn

Renegar, Deborah Lynn is an individual health care provider with primary practice located at 4523 Hallamview Ln , Lakeland FL 33813-1814. 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. Renegar, Deborah Lynn can be contacted via phone (863) 284-5941.

Contact Information

Primary practice address
4523 Hallamview Ln Lakeland FL 33813-1814
Phone: (863) 284-5941
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X ARNP9178246 Florida

Profile Details

NPI number 1013912542
LBN Legal business name Renegar, Deborah Lynn
Credentials ARNP-C
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 21st, 2005
Last updated Jul 8th, 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 1013912542 NPPES
Florida MEDICAID 303971400

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