Provider Demographics
NPI:1174348478
Name:LALANGAN, SOCORRO CABUSAO
Entity type:Individual
Prefix:
First Name:SOCORRO
Middle Name:CABUSAO
Last Name:LALANGAN
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:CORRIE
Other - Middle Name:
Other - Last Name:LALANGAN
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:
Mailing Address - Street 1:12314 NE 8TH ST
Mailing Address - Street 2:
Mailing Address - City:VANCOUVER
Mailing Address - State:WA
Mailing Address - Zip Code:98684-5804
Mailing Address - Country:US
Mailing Address - Phone:360-448-7084
Mailing Address - Fax:360-448-7084
Practice Address - Street 1:12314 NE 8TH ST
Practice Address - Street 2:
Practice Address - City:VANCOUVER
Practice Address - State:WA
Practice Address - Zip Code:98684-5804
Practice Address - Country:US
Practice Address - Phone:360-448-7084
Practice Address - Fax:360-448-7084
Is Sole Proprietor?:No
Enumeration Date:2024-11-21
Last Update Date:2024-11-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WA755329163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse