Lance Randell Seagren
Emergency Medical Services
2600 Greenbush St
Lafayette
, Indiana 47904-2477
Lance Randell Seagren
Emergency Medical Services
2600 Greenbush St
Lafayette
, Indiana 47904-2477
(765) 448-8000
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About
Features
Specialties
- Emergency Medical Services
Languages spoken
- English
Location
First Address
- Lance Randell Seagren
- Po Box 5545
- Lafayette, IN
- Zip : 47903-5545
- Phone : (765) 448-8000
Second Address
- Lance Randell Seagren
- 2600 Greenbush St
- Lafayette, IN
- Zip : 47904-2477
- Phone : (765) 448-8000
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 207PE0004X | Emergency Medical Services | 01029553A | IN |
National Provider Identifier
| NPI | 1043328495 |
|---|---|
| Provider Name | Lance Randell Seagren |
| First Address | Lafayette, IN 47903-5545 |
| Second Address | Lafayette, IN 47904-2477 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 27/08/2006 |
| Last Update Date | 16/06/2009 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 000000592944 | ANTHEM PROVIDER NUMBER (01) | IN |
| 100385510 | (05) | IN |
| D95741 | (02) |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.