Lance B Bolling, RN BSN

Primary specialty

Psychiatric/Mental Health Registered NurseTaxonomy code 163WP0808X

License

26NR12035300 Issued in NJ

Practice address

790 Woodlane Rd Ste 20
Westampton, NJ 08060-9624

Phone

(609) 261-6627

Fax

(609) 261-7379

NPI assigned

Feb 28, 2007

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Bachelor on Science - Nursing, Registered Nurse

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1172620800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1376671867",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "790 WOODLANE RD STE 20",
            "city": "WESTAMPTON",
            "state": "NJ",
            "postal_code": "080609624",
            "telephone_number": "609-261-6627",
            "fax_number": "609-261-7379"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "790 WOODLANE RD STE 20",
            "city": "WESTAMPTON",
            "state": "NJ",
            "postal_code": "080609624",
            "telephone_number": "609-261-6627",
            "fax_number": "609-261-7379"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOLLING",
        "first_name": "LANCE",
        "middle_name": "B",
        "name_prefix": "Mr.",
        "credential": "RN BSN",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-02-28",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WP0808X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Psychiatric/Mental Health",
            "state": "NJ",
            "license": "26NR12035300",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8819700",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Lynn Boggs
• Sean Francis Bogutz
• Judy A Boisselle
• Temaca Denise Boles
• Erik Bollendorf
• Stefanie Bolling
• Jailin Ariel Bolt
• Lisa Bonanno, RN
• Marjorie Boncy
• Alexis Bond

• Psychiatric/Mental Health Registered Nurse in Westampton, NJ
• Providers in Westampton, NJ by specialty
• Psychiatric/Mental Health Registered Nurse in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.