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1447437124 NPI number — LANCE CHRISTOPHER PURSLEY LAC, MAOM

NPI Number: 1447437124
Health Care Provider/Practitioner: LANCE CHRISTOPHER PURSLEY LAC, MAOM

Information about “1447437124” NPI (LANCE CHRISTOPHER PURSLEY LAC, MAOM) exists in 1447437124 in HTML format HTML  |  1447437124 in plain Text format TXT  |  1447437124 in PDF (Portable Document Format) PDF  |  1447437124 in an XML format XML  formats.

NPI Number : 1447437124 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1447437124",
    "EntityType": "Individual",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": "Y",
    "IsOrgSubpart": null,
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": null,
    "LastName": "PURSLEY",
    "FirstName": "LANCE",
    "MiddleName": "CHRISTOPHER",
    "NamePrefix": null,
    "NameSuffix": null,
    "Credential": "LAC, MAOM",
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": null,
    "OtherFirstName": null,
    "OtherMiddleName": null,
    "OtherNamePrefix": null,
    "OtherNameSuffix": null,
    "OtherCredential": null,
    "OtherLastNameTypeCode": null,
    "FirstLineMailingAddress": "13809 RESEARCH BLVD, SUITE 500",
    "SecondLineMailingAddress": "PMB 92693",
    "MailingAddressCityName": "AUSTIN",
    "MailingAddressStateName": "TX",
    "MailingAddressPostalCode": "78750",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": null,
    "MailingAddressFaxNumber": null,
    "FirstLinePracticeLocationAddress": "7822 SE HAWTHORNE BLVD",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "PORTLAND",
    "PracticeLocationAddressStateName": "OR",
    "PracticeLocationAddressPostalCode": "97215-3644",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "541-905-9173",
    "PracticeLocationAddressFaxNumber": null,
    "EnumerationDate": "01/25/2008",
    "LastUpdateDate": "02/19/2026",
    "NPIDeactivationReasonCode": null,
    "NPIDeactivationReason": null,
    "NPIDeactivationDate": "01/11/2020",
    "NPIReactivationDate": "02/19/2026",
    "GenderCode": "M",
    "Gender": "Male",
    "AuthorizedOfficialLastName": null,
    "AuthorizedOfficialFirstName": null,
    "AuthorizedOfficialMiddleName": null,
    "AuthorizedOfficialTitle": null,
    "AuthorizedOfficialNamePrefix": null,
    "AuthorizedOfficialNameSuffix": null,
    "AuthorizedOfficialCredential": null,
    "AuthorizedOfficialTelephoneNumber": null,
    "Taxonomies": {
      "Taxonomy": [
        {
          "TaxonomyCode": "171100000X",
          "TaxonomyName": "Acupuncturist",
          "LicenseNumber": "ACU.0001939",
          "LicenseNumberStateCode": "CO",
          "PrimaryTaxonomySwitch": "N"
        },
        {
          "TaxonomyCode": "171100000X",
          "TaxonomyName": "Acupuncturist",
          "LicenseNumber": "ACU-1169",
          "LicenseNumberStateCode": "HI",
          "PrimaryTaxonomySwitch": "N"
        },
        {
          "TaxonomyCode": "171100000X",
          "TaxonomyName": "Acupuncturist",
          "LicenseNumber": "AC01170",
          "LicenseNumberStateCode": "OR",
          "PrimaryTaxonomySwitch": "Y"
        }
      ]
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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