1396929311 NPI number — LOLITA THOMAS BRUCE

Table of content: LOLITA THOMAS BRUCE (NPI 1396929311)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1396929311 NPI number — LOLITA THOMAS BRUCE

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
BRUCE
Provider First Name:
LOLITA
Provider Middle Name:
THOMAS
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
Provider Gender Code:
F

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1396929311
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
05/24/2012
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
920 2ND AVE S STE 400
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
MINNEAPOLIS
Provider Business Mailing Address State Name:
MN
Provider Business Mailing Address Postal Code:
55402-3318
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
612-225-1538
Provider Business Mailing Address Fax Number:

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
920 2ND AVE S STE 400
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
MINNEAPOLIS
Provider Business Practice Location Address State Name:
MN
Provider Business Practice Location Address Postal Code:
55402-3318
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
612-225-1538
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
12/27/2007

Additional Information

Authorized Official

Authorized Official Last Name:
Authorized Official First Name:
Authorized Official Middle Name:
Authorized Official Title or Position:
Authorized Official Telephone Number:

Provider Taxonomy Codes

  • Taxonomy code: 363A00000X , with the licence number:  PA04817 , registered in the state of TX ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)

  • Identifier: 2035487-01 , issued by the state of ( TX ) . This identifiers is of the category "MEDICAID".
  • Identifier: 2067738-01 , issued by the state of ( TX ) . This identifiers is of the category "MEDICAID".
  • Identifier: 206773802 , issued by the state of ( TX ) . This identifiers is of the category "MEDICAID".
  • Identifier: 206773801 , issued by the state of ( TX ) . This identifiers is of the category "MEDICAID".
  • Identifier: D07564 . This is a "MEDICARE RR PALMETTO" identifier , issued by the state of ( TX ) . This identifiers is of the category "OTHER".
  • Identifier: DQ5280 . This is a "MEDICARE RR PALMETTO" identifier , issued by the state of ( TX ) . This identifiers is of the category "OTHER".




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