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NPI Code Detail

MEDICARE: LANI MARIE WARREN M,D.

MEDICARE: LANI MARIE WARREN M,D.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1207V00000XObstetrics & Gynecology Physician0101256943VA

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
11417492034OTHERVANPI-GROUP

General Provider Information

NPI Number : 1497831887
Entity Type Code : Individual
Provider Name (Legal Business Name) : LANI MARIE WARREN M,D.
Provider Business Mailing Address
First Line : 2865 LYNNHAVEN DR
Second Line : SUITE 3A
City : VIRGINIA BEACH
State : VA
Zip : 23451-1542
Country : US
Telephone Number : 757-496-5000
Fax Number : 757-496-5004
Provider Business Practice Location Address
First Line : 2865 LYNNHAVEN DR
Second Line : SUITE 3A
City : VIRGINIA BEACH
State : VA
Zip : 23451-1542
Country : US
Telephone Number : 757-496-5000
Fax Number : 757-496-5004
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/27/2006
Last Update Date : 03/20/2017

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