Lanum, Bruce Randall
Lanum, Bruce Randall is an individual health care provider with primary practice located at 4401 Bridgeport Way W Attn Credentialing, University Place WA 98466-4201. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as his primary health care specialty. Lanum, Bruce Randall can be contacted via phone (253) 564-4157.Contact Information
Primary practice address
4401 Bridgeport Way W Attn Credentialing
University Place WA 98466-4201
Phone: (253) 564-4157
Fax: (253) 564-4813
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Family | 363LF0000X | AP60060142 | Washington |
Profile Details
| NPI number | 1205925120 |
|---|---|
| LBN Legal business name | Lanum, Bruce Randall |
| Credentials | RN, MN, CS, FNP |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Oct 11th, 2006 |
| Last updated | Feb 4th, 2016 - about 8 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
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