Provider Demographics
NPI:1871384750
Name:LANIER, LYNDA S (MSN,APRN,AANP-C)
Entity type:Individual
Prefix:
First Name:LYNDA
Middle Name:S
Last Name:LANIER
Suffix:
Gender:F
Credentials:MSN,APRN,AANP-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:9431 141ST LN
Mailing Address - Street 2:
Mailing Address - City:LIVE OAK
Mailing Address - State:FL
Mailing Address - Zip Code:32060-6360
Mailing Address - Country:US
Mailing Address - Phone:386-688-2156
Mailing Address - Fax:386-438-5945
Practice Address - Street 1:4196 W US HIGHWAY 90 STE 105
Practice Address - Street 2:
Practice Address - City:LAKE CITY
Practice Address - State:FL
Practice Address - Zip Code:32055-8834
Practice Address - Country:US
Practice Address - Phone:386-243-8474
Practice Address - Fax:386-438-5945
Is Sole Proprietor?:No
Enumeration Date:2025-05-13
Last Update Date:2025-05-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLAPRN11039403363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily