Doctor Name: | MR. DEAN ARTHUR LANEY |
NPI Number: | 1205076130 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | RN |
License Number: | 199782-4405 |
Business Practice Address: | 375 Nw Beaver St. Suite 100 Prineville, OR - 97754 |
Business Phone Number: | 5414475165 |
Business Fax Number: | 5414473093 |
Mailing Address: | 375 Nw Beaver St., Suite 100 PRINEVILLE |
State: | OR |
Postal Code: | 97754 |
Phone Number: | 5414475165 |
Fax Number: | 5414473093 |
NPI Enumeration Date: | 03/05/2009 |
NPI Last Update Date: | 12/12/2011 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 363LF0000X |
License Number: | 199782-4405 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | UT |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Nurse Practitioner |
Taxonomy Specialization: | Family |
Taxonomy Definition: |