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General NPI Number Information
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NPI Number | 1538883426
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Entity Type | Individual
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Provider Name | LANA ELIZABETH DEIST CRNP
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Gender | Female
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Dates
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Enumeration Date | 10/04/2022
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Last Update Date | 08/06/2025
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Provider Practice Location Address
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Address Line | 1246 TILGHMAN STREET
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City | ALLENTOWN
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State | PA
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Zip | 18102
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Country | US
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Telephone | 484-221-8296
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Fax | 484-221-8318
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Provider Business Mailing Address
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Address Line | 160 BETHLEHEM PIKE STE 120
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City | COLMAR
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State | PA
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Zip | 18915-9790
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Country | US
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Telephone | 215-997-2000
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Fax | 215-997-2282
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 363LP0808X
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Taxonomy Name | Psychiatric/Mental Health Nurse Practitioner
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License Number | SP026381
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License Number State | PA
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