Provider Demographics
NPI:1518054220
Name:SEARS, LAN T (ARNP)
Entity Type:Individual
Prefix:MRS
First Name:LAN
Middle Name:T
Last Name:SEARS
Suffix:
Gender:F
Credentials:ARNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6015 NW 97TH ST
Mailing Address - Street 2:
Mailing Address - City:GAINESVILLE
Mailing Address - State:FL
Mailing Address - Zip Code:32653-2814
Mailing Address - Country:US
Mailing Address - Phone:352-376-3352
Mailing Address - Fax:352-379-4158
Practice Address - Street 1:1601 S.W. ARCHER ROAD
Practice Address - Street 2:PRIMARY/GERIATRIC OUTPTIENT CLINIC (136B18)
Practice Address - City:GAINESVILLE
Practice Address - State:FL
Practice Address - Zip Code:32608-1197
Practice Address - Country:US
Practice Address - Phone:352-376-1611
Practice Address - Fax:352-379-4158
Is Sole Proprietor?:No
Enumeration Date:2006-10-06
Last Update Date:2008-09-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL1661622363LA2100X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LA2100XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAcute Care