Provider Demographics
NPI:1447552542
Name:LANO, LINDSEY SUE (DPT)
Entity type:Individual
Prefix:
First Name:LINDSEY
Middle Name:SUE
Last Name:LANO
Suffix:
Gender:F
Credentials:DPT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:634 N FEDERAL HWY
Mailing Address - Street 2:
Mailing Address - City:FORT LAUDERDALE
Mailing Address - State:FL
Mailing Address - Zip Code:33304-4686
Mailing Address - Country:US
Mailing Address - Phone:954-302-7717
Mailing Address - Fax:954-302-7723
Practice Address - Street 1:634 N FEDERAL HWY
Practice Address - Street 2:
Practice Address - City:FORT LAUDERDALE
Practice Address - State:FL
Practice Address - Zip Code:33304-4686
Practice Address - Country:US
Practice Address - Phone:954-302-7717
Practice Address - Fax:954-302-7723
Is Sole Proprietor?:No
Enumeration Date:2010-11-22
Last Update Date:2010-11-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLPT257912251X0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2251X0800XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistOrthopedic