Basic Information
Provider Information
NPI: 1962785956
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: LAPIERRE
FirstName: MEREDITH
MiddleName:  
NamePrefix:  
NameSuffix:  
Credential: ANP-BC
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: 13020 N TELECOM PKWY
Address2:  
City: TEMPLE TERRACE
State: FL
PostalCode: 336370925
CountryCode: US
TelephoneNumber: 8139789700
FaxNumber:  
Practice Location
Address1: 13020 N TELECOM PKWY
Address2:  
City: TEMPLE TERRACE
State: FL
PostalCode: 336370925
CountryCode: US
TelephoneNumber: 8139789700
FaxNumber:  
Other Information
ProviderEnumerationDate: 09/26/2011
LastUpdateDate: 04/26/2019
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: F
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: N
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate:  

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
363L00000XAPRN9397406FLY Physician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner 

No ID Information.


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