Healthcare Provider Details

I. General information

NPI: 1962583534
Provider Name (Legal Business Name): LANCE ROGER VARNS ARNP, NP-C
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 10/18/2006
Last Update Date: 10/07/2019
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

105 W 8TH AVE STE 150E
SPOKANE WA
99204-2302
US

IV. Provider business mailing address

PO BOX 2586
SPOKANE WA
99220-2586
US

V. Phone/Fax

Practice location:
  • Phone: 509-465-3919
  • Fax: 509-227-7070
Mailing address:
  • Phone: 509-868-0876
  • Fax: 509-385-0670

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License NumberAP30006103
License Number StateWA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: