DataLabs
datalabs.health made in the usa
DataLabs Facebook Wall   Like   Follow DataLabs on Twitter   Tweet  
Contact us Sign in |  Documentation | 
NPI Code Detail

MEDICARE: BRUCE RANDALL LANUM RN, MN, CS, FNP

MEDICARE: BRUCE RANDALL LANUM RN, MN, CS, FNP
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1363LF0000XFamily Nurse PractitionerAP60060142WA

General Provider Information

NPI Number : 1205925120
Entity Type Code : Individual
Provider Name (Legal Business Name) : BRUCE RANDALL LANUM RN, MN, CS, FNP
Provider Business Mailing Address
First Line : 4401 BRIDGEPORT WAY W
Second Line : ATTN CREDENTIALING
City : UNIVERSITY PLACE
State : WA
Zip : 98466-4201
Country : US
Telephone Number : 253-564-4157
Fax Number : 253-564-4813
Provider Business Practice Location Address
First Line : 4401 BRIDGEPORT WAY W
Second Line : ATTN CREDENTIALING
City : UNIVERSITY PLACE
State : WA
Zip : 98466-4201
Country : US
Telephone Number : 253-564-4157
Fax Number : 253-564-4813
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/11/2006
Last Update Date : 02/04/2016

Similar Medicare Providers

1942205828 — DR. GERARD EDWARD SULLIVAN D.C.
Practice Location Address:
4401 BRIDGEPORT WAY W
UNIVERSITY PLACE, WA
98466-4201
Practice Phone: 253-564-9424
Practice Fax: 253-564-9721
1407858186 — DR. ROBERT HARRISON WILSON MD
Practice Location Address:
4401 BRIDGEPORT WAY W , SUITE 100
UNIVERSITY PLACE, WA
98466-4201
Practice Phone: 253-564-4157
Practice Fax: 253-564-4813
1922190651 — RENEE C LYON ARNP
Practice Location Address:
4401 BRIDGEPORT WAY W
UNIVERSITY PLACE, WA
98466-4201
Practice Phone: 253-564-4157
Practice Fax: 253-564-4813
1780737460 — DR. MARCY MEYER M.D.
Practice Location Address:
4401 BRIDGEPORT WAY W
UNIVERSITY PLACE, WA
98466-4201
Practice Phone: 253-455-5511
Practice Fax:
1881897601 — DR. MITRA RAJABI HANJANI M.D.
Practice Location Address:
4401 BRIDGEPORT WAY W
UNIVERSITY PLACE, WA
98466-4201
Practice Phone: 253-564-4157
Practice Fax:
1851561682 — ROBERT HARRISON WILSON MD
Practice Location Address:
4401 BRIDGEPORT WAY W
UNIVERSITY PLACE, WA
98466-4201
Practice Phone: 253-564-4157
Practice Fax: 253-564-4813

Directions to “ BRUCE RANDALL LANUM RN, MN, CS, FNP” Practice Location

Language Start Address Practice Location
These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2025 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.