MEDICARE: DEBORAH RUTH LANIER NP

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
1	363LW0102X	Women's Health Nurse Practitioner	236933	TX

General Provider Information

NPI Number	:	1992081160
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DEBORAH RUTH LANIER NP

Provider Business Mailing Address
First Line	:	3100 MCKINNON ST
Second Line	:	STE400
City	:	DALLAS
State	:	TX
Zip	:	75201-1044
Country	:	US
Telephone Number	:	214-754-8700
Fax Number	:	214-239-3769

Provider Business Practice Location Address
First Line	:	3100 MCKINNON ST
Second Line	:	STE400
City	:	DALLAS
State	:	TX
Zip	:	75201-1044
Country	:	US
Telephone Number	:	214-754-8700
Fax Number	:	214-239-3769

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	11/01/2011
Last Update Date	:	11/01/2011

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