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NPI Code Detail

MEDICARE: THOMAS JOACHIM LANEY MD DDS PS

MEDICARE: THOMAS JOACHIM LANEY MD DDS PS
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
1261QS0112XOral and Maxillofacial Surgery Clinic/CenterMD00024468WA

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
30141393OTHERWADEPT OF LABOR & INDUSTRIES

General Provider Information

NPI Number : 1750535001
Entity Type Code : Organization
Provider Name (Legal Business Name) : THOMAS JOACHIM LANEY MD DDS PS
Provider Business Mailing Address
First Line : 1308 S PIONEER WAY
Second Line :
City : MOSES LAKE
State : WA
Zip : 98837-2410
Country : US
Telephone Number : 509-765-5141
Fax Number : 509-765-5891
Provider Business Practice Location Address
First Line : 1308 S PIONEER WAY
Second Line :
City : MOSES LAKE
State : WA
Zip : 98837-2410
Country : US
Telephone Number : 509-765-5141
Fax Number : 509-765-5891
Authorized Official
Title or Position : OWNER
Name : DR. THOMAS JOACHIM LANEY
Credential : MD DDS
Telephone Number : 509-765-5141
Provider Enumeration Date : 11/13/2008
Last Update Date : 11/13/2008

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