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Individual

MELISSA RYAN LANNING

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
CRNA

Contact information

Practice address
6606 LBJ FWY STE 200, DALLAS, TX 75240-6524
(972) 715-5000
(972) 715-9976
Mailing address
PO BOX 650865, DALLAS, TX 75265-0865
(972) 715-5000

Taxonomy

Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
086146
TX

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
220789601
TX
05
220789602
TX
05
220789603
TX
05
220789604
TX
05
220789605
TX
05
220789606
TX
05
220789608
TX
01
8264UB
BCBS
TX
01
8762UG
BCBS TX
TX
01
P00943650
RAILROAD
TX
Enumeration date
01/18/2011
Last updated
02/22/2016
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