MEDICARE: DR. LANAADRIAN EASTERLING PSY.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
1	225C00000X	Rehabilitation Counselor

General Provider Information

NPI Number	:	1982899001
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. LANAADRIAN EASTERLING PSY.D.

Provider Business Mailing Address
First Line	:	8300 S VERMONT AVE
Second Line	:
City	:	LOS ANGELES
State	:	CA
Zip	:	90044-3422
Country	:	US
Telephone Number	:	323-965-6165
Fax Number	:	323-789-3363

Provider Business Practice Location Address
First Line	:	8300 S VERMONT AVE
Second Line	:
City	:	LOS ANGELES
State	:	CA
Zip	:	90044-3422
Country	:	US
Telephone Number	:	323-965-6165
Fax Number	:	323-789-3363

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	09/11/2007
Last Update Date	:	02/26/2013

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