Provider Demographics
NPI:1174259899
Name:LANMAN, DEANN DAE (MSN, APRN, FNP, BC)
Entity Type:Individual
Prefix:MRS
First Name:DEANN
Middle Name:DAE
Last Name:LANMAN
Suffix:
Gender:F
Credentials:MSN, APRN, FNP, BC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:101 E 8TH ST
Mailing Address - Street 2:
Mailing Address - City:CHEROKEE
Mailing Address - State:OK
Mailing Address - Zip Code:73728-3050
Mailing Address - Country:US
Mailing Address - Phone:580-542-1188
Mailing Address - Fax:
Practice Address - Street 1:101 E 8TH ST
Practice Address - Street 2:
Practice Address - City:CHEROKEE
Practice Address - State:OK
Practice Address - Zip Code:73728-3050
Practice Address - Country:US
Practice Address - Phone:580-542-1188
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-07-26
Last Update Date:2022-07-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OK209457363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily