MEDICARE: MICHA SYTORIA KRIS LANIER PA-C

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	363A00000X	Physician Assistant	0010-12253	NC

General Provider Information

NPI Number	:	1134726599
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MICHA SYTORIA KRIS LANIER PA-C

Provider Business Mailing Address
First Line	:	4705 UNIVERSITY DR BLDG 700
Second Line	:
City	:	DURHAM
State	:	NC
Zip	:	27707-3489
Country	:	US
Telephone Number	:	919-237-1337
Fax Number	:	866-538-4716

Provider Business Practice Location Address
First Line	:	7850 BRIER CREEK PKWY STE 100
Second Line	:
City	:	RALEIGH
State	:	NC
Zip	:	27617-8900
Country	:	US
Telephone Number	:	919-748-4878
Fax Number	:	919-748-4876

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

Provider Enumeration Date	:	10/07/2020
Last Update Date	:	03/03/2026

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