Active NPIIndividual providerSole proprietor

Mr. Lanny Rose Jr.

Physician Assistant in Becket, Massachusetts

NPI Number1073998225
Practice location
536 Broker Hill Road, Becket, MA 01223
Fax
—
Last updated
July 29, 2015

Lanny Rose is a Physician Assistant based in Becket, MA. Lanny Rose practices in Becket, MA. The NPI Number for Lanny Rose is 1073998225 and holds a License No. 9098 (MA). The current practice location address for Lanny Rose is 536 Broker Hill Road, Becket, MA 01223 and can be reached out via phone at 413-770-2928.

Provider Profile Details

NPI Number
1073998225
Provider Name
Lanny Rose
Provider Entity Type
Individual
Gender
Male
Address
536 Broker Hill Road, Becket, MA 01223
Phone Number
413-770-2928
Primary Taxonomy
Physician Assistant · 363A00000X
Sole Proprietor
Yes
Provider Enumeration Date
July 29, 2015
Last Update Date
July 29, 2015
NPI Status
Active

Provider Business Practice Location Address Details

Address
536 Broker Hill Road
Becket, MA 01223
City
Becket
Zip
01223
Phone Number
413-770-2928
Becket, MA 01223Get directions →

Provider Business Mailing Address Details

Address
Po Box 412
Becket, MA 01223-0412
City
Becket
State
MA
Zip
01223-0412
Phone Number
413-770-2928

License Information

License Number
9098
License State
MA
Taxonomy
Physician Assistant · 363A00000X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Mr. Lanny Rose Jr.?

The NPI number of Mr. Lanny Rose Jr. is 1073998225. It was assigned on July 29, 2015 and is currently active in the NPPES registry.

What is the specialty of Mr. Lanny Rose Jr.?

Mr. Lanny Rose Jr. is registered under the primary taxonomy Physician Assistant (code 363A00000X), licensed in MA under license number 9098.

Where does Mr. Lanny Rose Jr. practice?

The practice location is 536 Broker Hill Road, Becket, MA 01223. The office can be reached at 413-770-2928 (phone).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1073998225 directly on the NPPES registry website.

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