DR. BREEANN LANSIQUOT MD
NPI 1104520808
Student in an Organized Health Care Education/Training Program in Norfolk, VA
About Dr. Breeann Lansiquot Md NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DR. BREEANN LANSIQUOT MD (NPI 1104520808) is an individual student in an organized health care education/training program in Norfolk, Virginia and active in the NPI registry since March 2023. She is enrolled in Medicare PECOS.
NPPES Registry Identity
Specialties & Licenses
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Dr. Breeann Lansiquot Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Other Providers at the Same Location NPPES 20
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
NORFOLK, VA 23507
NORFOLK, VA 23507
NORFOLK, VA 23507
NORFOLK, VA 23507
Frequently Asked Questions NPPES & CMS
Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.
What is Breeann Lansiquot's NPI number?
The NPI number for Breeann Lansiquot is 1104520808. It was assigned to this individual provider in the NPPES registry on March 28, 2023.
Where is Breeann Lansiquot located?
Breeann Lansiquot practices at 825 Fairfax Ave Ste 710, Norfolk, VA 23507. The listed phone number is (757) 446-5884.
What is Breeann Lansiquot's specialty?
The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.
Is Breeann Lansiquot enrolled in Medicare?
Yes. Breeann Lansiquot is registered in the Medicare PECOS enrollment system.
When was this NPI record last updated?
The NPPES record for Breeann Lansiquot was last updated on March 28, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.
# Dr. Breeann Lansiquot, MD · NPI 1104520808
Student in an Organized Health Care Education/Training Program provider in Norfolk, Virginia. Individual provider, active in the CMS NPPES registry since March 28, 2023.
## Identity
- **NPI:** 1104520808 (Entity type: Individual)
- **Enumerated:** March 28, 2023
- **Primary specialty:** Student in an Organized Health Care Education/Training Program · taxonomy 390200000X
- **Sole proprietor:** No
## Practice location
- **Address:** 825 FAIRFAX AVE STE 710, Norfolk, VA 23507-1914
- **Phone:** (757) 446-5884
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
## Record status
- **NPPES last updated:** March 28, 2023
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Source: [NPI Profile](https://npiprofile.com/npi/1104520808) · Data from the CMS NPPES public registry.