Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207KA0200X | Allergist | M-12751 | ID |
Y | 207KA0200X | Allergist | MED-PHYS-LIC-62538 | MT |
N | 207R00000X | Internist | A85686 | CA |
N | 111NI0900X | Internist | A85686 | CA |
NPI | 1053353755 |
---|---|
Provider Name | Dr. George Lanske |
First Address | Billings, MT 59107-5100 |
Second Address | Billings, MT 59101 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 10/06/2006 |
Last Update Date | 22/04/2019 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
00A856860 | (05) | CA |
I23233 | (02) | CA |