Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207SG0201X | Clinical Genetics (M.D.) | 42384 | TN |
Y | 207SG0201X | Clinical Genetics (M.D.) | 44754 | MN |
N | 207SG0201X | Clinical Genetics (M.D.) | 52004 | AZ |
N | 207SG0201X | Clinical Genetics (M.D.) | MD038726 | DC |
N | 207SG0201X | Clinical Genetics (M.D.) | ME128368 | FL |
NPI | 1598964595 |
---|---|
Provider Name | Dr. Brendan Coe Lanpher |
First Address | Rochester, MN 55905-0001 |
Second Address | Rochester, MN 55905-0001 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 11/07/2007 |
Last Update Date | 18/08/2020 |