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1952737157 NPI number — LANCE MICHAEL BRUNE DDS

NPI Number: 1952737157
Health Care Provider/Practitioner: LANCE MICHAEL BRUNE DDS

Information about “1952737157” NPI (LANCE MICHAEL BRUNE DDS) exists in 1952737157 in HTML format HTML  |  1952737157 in plain Text format TXT  |  1952737157 in PDF (Portable Document Format) PDF  |  1952737157 in an XML format XML  formats.

NPI Number : 1952737157 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1952737157",
    "EntityType": "Individual",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": "N",
    "IsOrgSubpart": null,
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": null,
    "LastName": "BRUNE",
    "FirstName": "LANCE",
    "MiddleName": "MICHAEL",
    "NamePrefix": "DR.",
    "NameSuffix": null,
    "Credential": "DDS",
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": null,
    "OtherFirstName": null,
    "OtherMiddleName": null,
    "OtherNamePrefix": null,
    "OtherNameSuffix": null,
    "OtherCredential": null,
    "OtherLastNameTypeCode": null,
    "FirstLineMailingAddress": "3309 LAKESHORE AVE",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "OAKLAND",
    "MailingAddressStateName": "CA",
    "MailingAddressPostalCode": "94610-2305",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "510-444-4331",
    "MailingAddressFaxNumber": null,
    "FirstLinePracticeLocationAddress": "3309 LAKESHORE AVE",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "OAKLAND",
    "PracticeLocationAddressStateName": "CA",
    "PracticeLocationAddressPostalCode": "94610-2305",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "510-444-4331",
    "PracticeLocationAddressFaxNumber": null,
    "EnumerationDate": "09/19/2013",
    "LastUpdateDate": "01/18/2018",
    "NPIDeactivationReasonCode": null,
    "NPIDeactivationReason": null,
    "NPIDeactivationDate": null,
    "NPIReactivationDate": null,
    "GenderCode": "M",
    "Gender": "Male",
    "AuthorizedOfficialLastName": null,
    "AuthorizedOfficialFirstName": null,
    "AuthorizedOfficialMiddleName": null,
    "AuthorizedOfficialTitle": null,
    "AuthorizedOfficialNamePrefix": null,
    "AuthorizedOfficialNameSuffix": null,
    "AuthorizedOfficialCredential": null,
    "AuthorizedOfficialTelephoneNumber": null,
    "Taxonomies": {
      "Taxonomy": {
        "TaxonomyCode": "1223G0001X",
        "TaxonomyName": "General Practice Dentistry",
        "LicenseNumber": "056906",
        "LicenseNumberStateCode": "NY",
        "PrimaryTaxonomySwitch": "Y"
      }
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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