Individual provider · Type 1 NPI

Mary Johnson Lanctot, ARNP

Pediatric Nurse Practitioner · St. Petersburg, FL

NPI number 1346448339 Active

Practice location

801 6th St S
St. Petersburg, FL 33701-4816

Mailing address

1499 54th Ave NE
St. Petersburg, FL 33703-3226

Specialties and licenses

TaxonomyCodeLicense
Pediatric Nurse Practitioner Primary 363LP0200X9197354 (FL)

Pediatric Nurse Practitioner: Definition to come...

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About NPI 1346448339

Mary Johnson Lanctot, ARNP's National Provider Identifier is 1346448339, issued on Jul 11, 2007. The primary taxonomy on file is Pediatric Nurse Practitioner (363LP0200X), and the practice location is in St. Petersburg, FL. The record was last updated on Sep 18, 2008.