Mrs. Lana May Coppernoll
Dental Assistant
2053 Nw Fargo Ct
Camas
, Washington 98607
Mrs. Lana May Coppernoll
Dental Assistant
2053 Nw Fargo Ct
Camas
, Washington 98607
(380) 833-4505
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About
Features
Specialties
- Dental Assistant
Languages spoken
- English
Location
First Address
- Mrs. Lana May Coppernoll
- 2053 Nw Fargo Ct
- Camas, WA
- Zip : 98607-7953
- Phone : (380) 833-4505
Second Address
- Mrs. Lana May Coppernoll
- 2053 Nw Fargo Ct
- Camas, WA
- Zip : 98607
- Phone : (380) 833-4505
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 126800000X | Dental Assistant | WA |
National Provider Identifier
| NPI | 1013022235 |
|---|---|
| Provider Name | Mrs. Lana May Coppernoll |
| First Address | Camas, WA 98607-7953 |
| Second Address | Camas, WA 98607 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | Yes |
| Is Organization Subpart | N/A |
| Enumeration Date | 20/08/2006 |
| Last Update Date | 08/07/2007 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 868 | KAISER PERMENTE DENTAL (01) | WA |
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.