Provider Demographics
NPI:1710319033
Name:LANNING, TAMMY L (RN)
Entity Type:Individual
Prefix:
First Name:TAMMY
Middle Name:L
Last Name:LANNING
Suffix:
Gender:F
Credentials:RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1341 S SENECA AVE
Mailing Address - Street 2:
Mailing Address - City:ALLIANCE
Mailing Address - State:OH
Mailing Address - Zip Code:44601-4142
Mailing Address - Country:US
Mailing Address - Phone:330-356-0056
Mailing Address - Fax:
Practice Address - Street 1:1341 S SENECA AVE
Practice Address - Street 2:
Practice Address - City:ALLIANCE
Practice Address - State:OH
Practice Address - Zip Code:44601-4142
Practice Address - Country:US
Practice Address - Phone:330-356-0056
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2013-08-09
Last Update Date:2013-08-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHRN327349163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse