Individual provider · NPI-1

Thomas Luciano Tolman

Student in an Organized Health Care Education/Training Program · Lansing, MI

NPI number1619520517
StatusActive
Last updated in NPPESJun 3, 2024

Details

NPI
1619520517
Entity type
Individual (NPI-1)
Name
Thomas Luciano Tolman
Sex
Male
Sole proprietor
No
Enumeration date
Jul 19, 2019
Certification date
Jun 3, 2024
Last updated
Jun 3, 2024

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
390200000X Student in an Organized Health Care Education/Training Program––Yes
174H00000X Health Educator–ID

Other names

  • Tommy Tolman (Other Name)

Practice location

2900 Collins Rd
Lansing, MI 48910-8394

Phone 517-975-6000

Mailing address

2900 Collins Rd
Lansing, MI 48910-8394

Phone 517-975-6000

Other practice locations

419 N 11th St
Boise, ID 83702-5332

Phone 208-344-5502

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