Provider Demographics
NPI:1932173598
Name:LING, LANWAY HILLARY (MD)
Entity Type:Individual
Prefix:
First Name:LANWAY
Middle Name:HILLARY
Last Name:LING
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3298 SUMMIT BLVD STE 39
Mailing Address - Street 2:
Mailing Address - City:PENSACOLA
Mailing Address - State:FL
Mailing Address - Zip Code:32503-4350
Mailing Address - Country:US
Mailing Address - Phone:850-696-2333
Mailing Address - Fax:850-912-4465
Practice Address - Street 1:3298 SUMMIT BLVD STE 39
Practice Address - Street 2:
Practice Address - City:PENSACOLA
Practice Address - State:FL
Practice Address - Zip Code:32503-4350
Practice Address - Country:US
Practice Address - Phone:850-696-2333
Practice Address - Fax:850-912-4465
Is Sole Proprietor?:No
Enumeration Date:2006-02-13
Last Update Date:2023-08-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLME83071207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
AL591-83887OtherBLUE CROSS BLUE SHIELD
FL03335OtherBLUE CROSS BLUE SHIELD
AL591-83887OtherBLUE CROSS BLUE SHIELD
FL03335OtherBLUE CROSS BLUE SHIELD
FL266252300Medicaid