Individual
ANDREA MARIE LANNING
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
BSN, RN
Contact information
Practice address
3425 13TH ST, BAKER CITY, OR 97814-1340
(541) 523-7400
(541) 523-4927
Mailing address
3425 13TH ST, BAKER CITY, OR 97814-1340
(541) 523-7400
(541) 523-4927
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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