Healthcare Provider Details

I. General information

NPI: 1518150911
Provider Name (Legal Business Name): JULIA ELLEN LANSING APRN
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/20/2007
Last Update Date: 08/20/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1301 N HIGH ST
COLUMBUS OH
43201-2460
US

IV. Provider business mailing address

1480 W RICH ST APARTMENT 1
COLUMBUS OH
43223-1374
US

V. Phone/Fax

Practice location:
  • Phone: 614-299-6600
  • Fax:
Mailing address:
  • Phone: 740-352-0319
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code364SP0809X
TaxonomyAdult Psychiatric/Mental Health Clinical Nurse Specialist
License Number03372-NS
License Number StateOH
# 2
Primary TaxonomyN
Taxonomy Code101YA0400X
TaxonomyAddiction (Substance Use Disorder) Counselor
License Number954220
License Number StateOH
# 3
Primary TaxonomyN
Taxonomy Code104100000X
TaxonomySocial Worker
License NumberS1686
License Number StateOH
# 4
Primary TaxonomyN
Taxonomy Code163WP0809X
TaxonomyAdult Psychiatric/Mental Health Registered Nurse
License Number198789
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: