Bruce Randall Lanum in University Place - Family
Bruce Randall Lanum - NPI 1205925120
Bruce Randall Lanum is a Family in University Place, Washington. Bruce Randall Lanum practices all healthcare services and medical treatments related to Family. The NPI Number for Bruce Randall Lanum is 1205925120. The last update date is 2016-02-04.
Bruce Randall Lanum's current location address is 4401 Bridgeport Way W, University Place, Washington. You can contact this provider via phone number 2535644157 and fax number 2535644813. The mailing address for Bruce Randall Lanum is 4401 Bridgeport Way W, University Place, Washington. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Bruce Randall Lanum |
|---|---|
| Address | 4401 Bridgeport Way W, University Place, Washington |
| Phone Number | 2535644157 |
| Fax Number | 2535644813 |
| Sole Proprietor | N |
| Credentials | RN, MN, CS |
NPI Number Detail
| NPI Number | 1205925120 |
|---|---|
| Provider Enumeration Date | 2006-10-11 |
| Last Updated Date | 2016-02-04 |
Provider Mailing Address Detail
| Address | 4401 Bridgeport Way W |
|---|---|
| City | University Place |
| State | Washington (WA) |
| Post Code | 984664201 |
| Phone Number | 2535644157 |
| Fax Number | 2535644813 |
Provider's Primary Taxonomy Detail
| Speciality | Family |
|---|---|
| Taxonomy | 363Lf0000X |
| Licence No | AP60060142 |
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Definition: An advanced practice registered nurse expert in primary healthcare for patients of all ages. |
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What is the unique identification code assigned to Bruce Randall Lanum by the Centers for Medicare & Medicaid Services?
The Bruce Randall Lanum has been issued the NPI (National Provider Identifier) 1205925120. This 10-digit code serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Where is the Bruce Randall Lanum located?
The Bruce Randall Lanum is located at 4401 Bridgeport Way W, University Place, WA 984664201.
What is Bruce Randall Lanum's area of specialization, and what is the corresponding taxonomy classification code for this field of practice?
The specialized area of practice for Bruce Randall Lanum is Family, and the taxonomy code that categorizes this field of expertise is 363Lf0000X.
On what date did the Centers for Medicare & Medicaid Services assign the 1205925120 to Bruce Randall Lanum?
The Centers for Medicare & Medicaid Services assigned the 1205925120 to Bruce Randall Lanum on 2006-10-11.
When was the Bruce Randall Lanum's information last updated?
The Bruce Randall Lanum's information was last updated on 2016-02-04.
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