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NPI Code Detail

MEDICARE: LANCE JOSEPH BUXTON N.P.

MEDICARE: LANCE JOSEPH BUXTON N.P.
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 Practitioner681333TX
2363LF0000XFamily Nurse PractitionerNP-648AID

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
18Y4032OTHERTXBCBS PVN

General Provider Information

NPI Number : 1609833250
Entity Type Code : Individual
Provider Name (Legal Business Name) : LANCE JOSEPH BUXTON N.P.
Provider Business Mailing Address
First Line : PO BOX 9
Second Line :
City : NAMPA
State : ID
Zip : 83653-0009
Country : US
Telephone Number : 208-459-1025
Fax Number : 208-459-1080
Provider Business Practice Location Address
First Line : 2005 ARLINGTON AVE
Second Line :
City : CALDWELL
State : ID
Zip : 83605-4808
Country : US
Telephone Number : 208-459-1025
Fax Number : 208-459-1080
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/27/2006
Last Update Date : 11/16/2015

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Directions to “ LANCE JOSEPH BUXTON N.P.” Practice Location

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