PV006
- Trang Riley (Unlicensed)
- Tim Holder
Owned by Trang Riley (Unlicensed)
Data Element | ProviderLastName |
---|---|
Description | Provider’s last name. Set to blank if provider is a facility or an organization. Place facility or organization name in PV057. |
Type | Text |
Format | varchar |
Length | 60 |
Threshold | 100% |
Required | Required |
Tip / Notes | |
Rank | 010 |