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Individual
MR. MARTIN EUGENE LANSANGAN
Active
Individual
MR. MARTIN EUGENE LANSANGAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PT
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
1116234
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
8T0573
BCBS NUMBER
TX
Enumeration date
04/03/2007
Last updated
07/08/2007
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