Individual provider · Type 1 NPI

Lane-Michael Rucker

Student in an Organized Health Care Education/Training Program · Renton, WA

NPI number 1659969699 Active

Practice location

707 S Grady Way
Renton, WA 98057-3224

Call (425) 226-5062 Map

Specialties and licenses

TaxonomyCodeLicense
Behavior Technician 106S00000XNone listed
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 1659969699

Lane-Michael Rucker's National Provider Identifier is 1659969699, issued on Jan 5, 2021. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Renton, WA. The record was last updated on Oct 12, 2022.