NPI 1205925120 BRUCE RANDALL LANUM RN, MN, CS, FNP UNIVERSITY PLACE WA. Find Phone Number, Address, Contact details of medical healthcare providers | NPI Number Lookup

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Bruce Randall Lanum - NPI: 1205925120

National Provider Identifier (NPI) is a 10-digit identification number which is issued to health care providers by the Centers for Medicare and Medicaid Services (CMS) in the United States(US). The NPI is introduced to replace of UPIN (unique provider identification number) and now NPI is the only required identifier for Medicare services, and NPI is also used by commercial healthcare insurers and by other payers.

Doctor Name: BRUCE RANDALL LANUM
NPI Number: 1205925120
Entity Type Code: Individual (1)
Gender: M
Credentials: RN, MN, CS, FNP
License Number: AP60060142
Business Practice Address: 4401 Bridgeport Way W
Attn Credentialing University Place, WA - 984664201
Business Phone Number: 2535644157
Business Fax Number: 2535644813
Mailing Address: 4401 Bridgeport Way W, Attn Credentialing
UNIVERSITY PLACE
State: WA
Postal Code: 984664201
Phone Number: 2535644157
Fax Number: 2535644813
NPI Enumeration Date: 10/11/2006
NPI Last Update Date: 02/04/2016
Replacement NPI: 0
NPI Deactivation Date:
NPI Reactivation Date:

Taxonomy Information:

Healthcare Provider Taxonomy: 363LF0000X
License Number: AP60060142
Healthcare Provider Taxonomy:
(Secondary)
Y
State: WA
Taxonomy Type: Physician Assistants & Advanced Practice Nursing Providers
Taxonomy Classification: Nurse Practitioner
Taxonomy Specialization: Family
Taxonomy Definition:


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