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Individual
ANDREA MARIE LANNING
Active
Individual
ANDREA MARIE LANNING
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
BSN, RN
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
201908006RN
OR
163WC1500X
Community Health Registered Nurse
201908006RN
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
B187554
ODL
OR
Enumeration date
09/30/2019
Last updated
07/20/2021
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