Individual
JARED LANHAM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1125 TEXAS AVE, EL PASO, TX 79901-1753
(919) 830-0778
Mailing address
6121 PINEHURST DR, EL PASO, TX 79912-2023
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
AP146180
TX
367500000X
Certified Registered Nurse Anesthetist
Primary
PENDING
CA
Other
Enumeration date
04/27/2020
Last updated
04/07/2026
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