Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Lawanda S Fantroy

Individual provider Adult Health Nurse Practitioner · NPI 1093272874

Lawanda S Fantroy is a Nurse Practitioner in Mobile, Alabama. Qualified in 2021, 5 years ago. Practices with Imc-Diagnostic and Medical Clinic LLC, a 168-clinician group, works from 2 locations and offers telehealth. Licensed in Alabama and Minnesota.

Years since qualifying
5
Licensed in
AL, MN
In the registry since
2019
Specialties on file
2
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Practice location Address checks out

1700 Spring Hill Ave Ste 100
Mobile, AL 36604-1416
Phone: (251) 435-1200
Show map & directions

Directions in Google Maps · Apple Maps · OpenStreetMap

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 2925 Chicago Ave, Minneapolis, MN 55407-1321 — (612) 262-9000

Specialties & licences

Acute Care Nurse Practitioner (primary) Taxonomy 363LA2100X · Licence 1-122621 (AL)
Adult Health Nurse Practitioner Taxonomy 363LA2200X · Licence 20629 (MN)

Record details

NPI number1093272874
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedFebruary 27, 2019
Last updated in NPPESFebruary 29, 2024
Certification dateFebruary 29, 2024

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2021 (5 years in practice)
Group practice Imc-Diagnostic And Medical Clinic Llc — 168 clinicians
Accepts Medicare assignment Not indicated
TelehealthOffers telehealth services
Practice locations2 on file with Medicare

Medicare patients and services, 2024

From the CMS Medicare Physician & Other Practitioners file for calendar year 2024. It counts Original Medicare patients only, so a practice that mostly sees Medicare Advantage or privately insured patients looks smaller here than it is.

Medicare patients75
Services billed 106 a service is one billed item, such as a visit, a test or a procedure
Average patient age73

Dollar amounts are not shown. What Medicare pays a practice is gross billings, before staff, premises and tax and including the cost of any drugs it administers, so it is not what a clinician earns.

Practises at

Facilities the CMS Facility Affiliation file lists for this clinician.

  • Mobile Infirmary Medical Center Hospital · Mobile, AL

Colleagues at Imc-Diagnostic and Medical Clinic LLC

Clinicians the CMS Doctors & Clinicians file lists under the same group practice. CMS counts 168 clinicians in the practice; 12 are shown here.

Other providers in Mobile