Individual provider · Type 1 NPI
Grant Lannoye, PA-C
Medical Physician Assistant · Cando, ND
NPI number
1093184657
Active
Practice location
7448 US Hwy 281
Cando, ND 58324-0688
Fax (701) 968-2574
Mailing address
PO Box 688
Cando, ND 58324-0688
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Medical Physician Assistant Primary | 363AM0700X | PAC0615 (ND) |
Medical Physician Assistant: Definition to come...
About NPI 1093184657
Grant Lannoye, PA-C's National Provider Identifier is 1093184657, issued on Sep 24, 2015. The primary taxonomy on file is Medical Physician Assistant (363AM0700X), and the practice location is in Cando, ND. The record was last updated on Sep 24, 2015.