Individual provider · Type 1 NPI

Amanda Lanoue, PA-C

Medical Physician Assistant · Fargo, ND

NPI number 1386405348 Active

Practice location

801 Broadway N
Fargo, ND 58102-3641

Call (701) 234-2000 Map

Mailing address

PO Box 5074
Sioux Falls, SD 57117-5074

Specialties and licenses

TaxonomyCodeLicense
Medical Physician Assistant Primary 363AM0700XPAC1117 (ND)

Medical Physician Assistant: Definition to come...

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About NPI 1386405348

Amanda Lanoue, PA-C's National Provider Identifier is 1386405348, issued on Jan 17, 2024. The primary taxonomy on file is Medical Physician Assistant (363AM0700X), and the practice location is in Fargo, ND. The record was last updated on Sep 25, 2026.