Doctor Name: | LANITA FALANI TAUNISILA |
NPI Number: | 1487033429 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | PHARMACY INTERN |
License Number: | PI0011496 |
Business Practice Address: | 530 Nw 27th St Corvallis, OR - 973305223 |
Business Phone Number: | 5417666835 |
Business Fax Number: | 5417666186 |
Mailing Address: | 3405 Nw Orchard Ave Apt 101, CORVALLIS |
State: | OR |
Postal Code: | 973305080 |
Phone Number: | 5418292383 |
Fax Number: | |
NPI Enumeration Date: | 05/22/2015 |
NPI Last Update Date: | 05/22/2015 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 390200000X |
License Number: | PI0011496 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | OR |
Taxonomy Type: | Student, Health Care |
Taxonomy Classification: | Student in an Organized Health Care Education/Training Program |
Taxonomy Specialization: | |
Taxonomy Definition: | An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care. |