Individual provider · Type 1 NPI

Lanna Waithe

Student in an Organized Health Care Education/Training Program · Tyler, TX

NPI number 1083197065 Active

Practice location

3900 University Blvd
Tyler, TX 75799-6600

Mailing address

3603 Texas Dr
Sachse, TX 75048-1906

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program Primary 390200000XNone listed

Student in an Organized Health Care Education/Training Program: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

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About NPI 1083197065

Lanna Waithe's National Provider Identifier is 1083197065, issued on Sep 14, 2018. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Tyler, TX. The record was last updated on Sep 14, 2018.