Tarrence Lackran

Primary specialty

Hearing Instrument SpecialistTaxonomy code 237700000X

License

F0349300 Issued in PA

Practice address

31 Waln St
Wellsboro, PA 16901-1511

Phone

(570) 724-3894

NPI assigned

Dec 6, 2012

Last updated

Dec 6, 2012By the provider in NPPES

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1354752000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1354752000000",
    "number": "1528303211",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3425 SIMPSON FERRY RD",
            "address_2": "STE 202",
            "city": "CAMP HILL",
            "state": "PA",
            "postal_code": "170116405"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "31 WALN ST",
            "city": "WELLSBORO",
            "state": "PA",
            "postal_code": "169011511",
            "telephone_number": "570-724-3894"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LACKRAN",
        "first_name": "TARRENCE",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2012-12-06",
        "last_updated": "2012-12-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "237700000X",
            "taxonomy_group": "",
            "desc": "Hearing Instrument Specialist",
            "state": "PA",
            "license": "F0349300",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Brooke Krall
• Ann S. Krohn, CRNP
• David Jon Krohn, PA
• Scott G Kroll, CRNP
• Doris A. Kyle, M.S.W.
• Walter John Laibinis Jr., D.O.
• Alyssa Lapp
• Paul Latzko, MD
• Laurel Management Services (Occupational Health)
• Kali A Leach, CRNP

• Hearing Instrument Specialist in Wellsboro, PA
• Providers in Wellsboro, PA by specialty
• Hearing Instrument Specialist in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 6, 2012; 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.