Fallon Lanham, PA-C

NPI #1053847160 in Saint Petersburg, Florida

Provider Information

NPI Number: 1053847160
Entity Type: Individual
Name: Fallon Lanham, PA-C
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Physician Assistant
Credential: PA-C
Enumeration Date: May 10, 2017
Last Updated: Sep 9, 2019

Practice Location

Address: 601 5TH ST S STE 302
City: Saint Petersburg
State: Florida
ZIP Code: 33701-4804
Phone: (813) 505-2377

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physician Assistant	363A00000X	Primary

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