Provider Demographics
NPI:1083499966
Name:LANSANG, LAILA MAE ANN (RN)
Entity Type:Individual
Prefix:MRS
First Name:LAILA MAE ANN
Middle Name:
Last Name:LANSANG
Suffix:
Gender:F
Credentials:RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:213 SPRING FOREST DR
Mailing Address - Street 2:
Mailing Address - City:GOLDSBORO
Mailing Address - State:NC
Mailing Address - Zip Code:27534-9522
Mailing Address - Country:US
Mailing Address - Phone:919-584-1952
Mailing Address - Fax:
Practice Address - Street 1:213 SPRING FOREST DR
Practice Address - Street 2:
Practice Address - City:GOLDSBORO
Practice Address - State:NC
Practice Address - Zip Code:27534-9522
Practice Address - Country:US
Practice Address - Phone:919-584-1952
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-08-29
Last Update Date:2023-08-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC346650163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse