| Doctor Name: | LANI CHARLENE GROSS |
| NPI Number: | 1114167442 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | |
| License Number: | |
| Business Practice Address: | 1610 Bishop Rd Sw Ste 101 Tumwater, WA - 985127303 |
| Business Phone Number: | 3609235588 |
| Business Fax Number: | 3604599183 |
| Mailing Address: | 1610 Bishop Rd Sw Ste 101, TUMWATER |
| State: | WA |
| Postal Code: | 985127303 |
| Phone Number: | 3609235588 |
| Fax Number: | 3604599183 |
| NPI Enumeration Date: | 02/26/2009 |
| NPI Last Update Date: | 02/26/2009 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 247000000X |
| License Number: | |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | |
| Taxonomy Type: | Technologists, Technicians & Other Technical Service Providers |
| Taxonomy Classification: | Technician, Health Information |
| Taxonomy Specialization: | |
| Taxonomy Definition: | Preferred term for an Accredited Record Technician who is an individual with an associate |