Lance Brandenburgh

NPI 1780070003 - Student in an Organized Health Care Education/Training Program - 390200000X

NPI Details
NPI 1780070003
Gender Male
Enumeration Date 04/14/2015
Last Updated 04/14/2015
Entity Type Individual
Active Over 1 year ago
Practice Location
2301 HOLMES ST
KANSAS CITY MO, 64108-2640, US
Phone (816) 404-1862
Fax
Business Location
2301 HOLMES ST
KANSAS CITY MO, 64108-2640, US
Phone
Fax
Toxanomy
Taxonomy Code 390200000X
License State
License Number
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According to our database, Lance Brandenburgh NPI is 1780070003, taxonomy code is 390200000X Lance Brandenburgh physically located at 2301 Holmes St, Kansas City MO, 64108-2640. NPI Number Lance Brandenburgh has the Individual type.

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1780070003 NPI number is provided on an as is basis without warranty of any kind. 1780070003 is maintained by the National Plan & Provider Enumeration System. The contents of Lance Brandenburgh are for informational purposes only.