| Michele Lanese Inc | |
|
4855 W Hillsboro Blvd Suite B1 Coconut Creek FL 33073-4356 | |
| (954) 345-5525 | |
| (954) 977-4978 |
| Full Name | Michele Lanese Inc |
|---|---|
| Speciality | Social Worker |
| Location | 4855 W Hillsboro Blvd, Coconut Creek, Florida |
| Authorized Official Name and Position | Michele Lanese (PRESIDENT) |
| Authorized Official Contact | 9543455525 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Michele Lanese Inc 4855 W Hillsboro Blvd Suite B1 Coconut Creek FL 33073-4356 Ph: (954) 345-5525 | Michele Lanese Inc 4855 W Hillsboro Blvd Suite B1 Coconut Creek FL 33073-4356 Ph: (954) 345-5525 |
| NPI Number | 1437331915 |
|---|---|
| Provider Enumeration Date | 11/27/2007 |
| Last Update Date | 07/29/2014 |
| Medicare PECOS PAC ID | 2163492091 |
|---|---|
| Medicare Enrollment ID | O20040728001321 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1437331915 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | SW0001662 (Florida) | Primary |
| Provider Name | Michele L Lanese |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1942395850 PECOS PAC ID: 9335119270 Enrollment ID: I20040729000564 |
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