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1225314560 NPI number — KATHLEEN MARIE LANCE APN

NPI Number: 1225314560
Health Care Provider/Practitioner: KATHLEEN MARIE LANCE APN

Information about “1225314560” NPI (KATHLEEN MARIE LANCE APN) exists in 1225314560 in HTML format HTML  |  1225314560 in plain Text format TXT  |  1225314560 in PDF (Portable Document Format) PDF  |  1225314560 in an XML format XML  formats.

NPI Number : 1225314560 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1225314560",
    "EntityType": "Individual",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": "Y",
    "IsOrgSubpart": null,
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": null,
    "LastName": "LANCE",
    "FirstName": "KATHLEEN",
    "MiddleName": "MARIE",
    "NamePrefix": "MRS.",
    "NameSuffix": null,
    "Credential": "APN",
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": "EARNEST",
    "OtherFirstName": "KATHLEEN",
    "OtherMiddleName": "MARIE",
    "OtherNamePrefix": "MRS.",
    "OtherNameSuffix": null,
    "OtherCredential": "APN",
    "OtherLastNameTypeCode": "1",
    "FirstLineMailingAddress": "255 N HIGHWAY 52",
    "SecondLineMailingAddress": "SUITE #8",
    "MailingAddressCityName": "MONCKS CORNER",
    "MailingAddressStateName": "SC",
    "MailingAddressPostalCode": "29461-3927",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "843-899-9420",
    "MailingAddressFaxNumber": "843-899-9421",
    "FirstLinePracticeLocationAddress": "255 N HIGHWAY 52",
    "SecondLinePracticeLocationAddress": "SUITE #8",
    "PracticeLocationAddressCityName": "MONCKS CORNER",
    "PracticeLocationAddressStateName": "SC",
    "PracticeLocationAddressPostalCode": "29461-3927",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "843-899-9420",
    "PracticeLocationAddressFaxNumber": "843-899-9421",
    "EnumerationDate": "11/01/2011",
    "LastUpdateDate": "02/06/2015",
    "NPIDeactivationReasonCode": null,
    "NPIDeactivationReason": null,
    "NPIDeactivationDate": null,
    "NPIReactivationDate": null,
    "GenderCode": "F",
    "Gender": "Female",
    "AuthorizedOfficialLastName": null,
    "AuthorizedOfficialFirstName": null,
    "AuthorizedOfficialMiddleName": null,
    "AuthorizedOfficialTitle": null,
    "AuthorizedOfficialNamePrefix": null,
    "AuthorizedOfficialNameSuffix": null,
    "AuthorizedOfficialCredential": null,
    "AuthorizedOfficialTelephoneNumber": null,
    "Taxonomies": {
      "Taxonomy": [
        {
          "TaxonomyCode": "363L00000X",
          "TaxonomyName": "Nurse Practitioner",
          "LicenseNumber": "209009043",
          "LicenseNumberStateCode": "IL",
          "PrimaryTaxonomySwitch": "N"
        },
        {
          "TaxonomyCode": "363LF0000X",
          "TaxonomyName": "Family Nurse Practitioner",
          "LicenseNumber": "APN19005",
          "LicenseNumberStateCode": "SC",
          "PrimaryTaxonomySwitch": "Y"
        }
      ]
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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