Provider Demographics
NPI:1598919441
Name:BUFORD, LANIN R (DNP, APRN, PPCNP-BC)
Entity Type:Individual
Prefix:DR
First Name:LANIN
Middle Name:R
Last Name:BUFORD
Suffix:
Gender:F
Credentials:DNP, APRN, PPCNP-BC
Other - Prefix:MS
Other - First Name:LANIN
Other - Middle Name:
Other - Last Name:REVIERE
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:LANIN REVIERE
Mailing Address - Street 1:7431 HINSDALE DR
Mailing Address - Street 2:
Mailing Address - City:PASADENA
Mailing Address - State:TX
Mailing Address - Zip Code:77505-1113
Mailing Address - Country:US
Mailing Address - Phone:215-275-8019
Mailing Address - Fax:
Practice Address - Street 1:15551 SOUTHWEST FWY
Practice Address - Street 2:
Practice Address - City:SUGARLAND
Practice Address - State:TX
Practice Address - Zip Code:77478
Practice Address - Country:US
Practice Address - Phone:281-325-1010
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2008-11-05
Last Update Date:2023-10-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXAP121836363LP0200X
TX816583363LP0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP0200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPediatrics