Individual
LANNY R SCHNEIDER
Active
Individual
LANNY R SCHNEIDER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
329
WA
363A00000X
Physician Assistant
491
MT
363AS0400X
Surgical Physician Assistant
Primary
MED-PAC-LIC-491
MT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000097893
BCBS PIN
MT
05
—
121783600
—
WY
01
—
4309981
MDCD PIN
MT
Enumeration date
02/07/2006
Last updated
12/14/2021
Update your record
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