Bruce Randall Lanum, RN, MN, CS, FNP
NPI #1205925120 in University Place, Washington
Provider Information
- NPI Number
- 1205925120
- Entity Type
- Individual
- Name
- Bruce Randall Lanum, RN, MN, CS, FNP
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Nurse Practitioner - Family
- Credential
- RN, MN, CS, FNP
- Enumeration Date
- Oct 11, 2006
- Last Updated
- Feb 4, 2016
Practice Location
- Address
- 4401 BRIDGEPORT WAY W
- Address 2
- ATTN CREDENTIALING
- City
- University Place
- State
- Washington
- ZIP Code
- 98466-4201
- Phone
- (253) 564-4157
Specialties & Taxonomy Codes
| Specialty |
|---|
| Nurse Practitioner - Family — Family |
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