Provider Demographics
NPI:1164118915
Name:LAPLANTE, LANA JEANNE (LMT)
Entity Type:Individual
Prefix:
First Name:LANA
Middle Name:JEANNE
Last Name:LAPLANTE
Suffix:
Gender:F
Credentials:LMT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4223 WINDERGATE DR
Mailing Address - Street 2:
Mailing Address - City:JACKSONVILLE
Mailing Address - State:FL
Mailing Address - Zip Code:32257-3927
Mailing Address - Country:US
Mailing Address - Phone:904-924-5572
Mailing Address - Fax:
Practice Address - Street 1:4223 WINDERGATE DR
Practice Address - Street 2:
Practice Address - City:JACKSONVILLE
Practice Address - State:FL
Practice Address - Zip Code:32257-3927
Practice Address - Country:US
Practice Address - Phone:904-924-5572
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-04-14
Last Update Date:2023-04-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225700000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersMassage Therapist