Update this page – If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS.
Individual
LANISHA DENISE FULLER
Active
Individual
LANISHA DENISE FULLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
Primary
MD222959
OR
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
ME159488
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2309172
—
WA
05
—
500848711
—
OR
Enumeration date
04/17/2018
Last updated
11/18/2025
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