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NPI Code Detail

MEDICARE: DR. JANE C LANIER MD

MEDICARE: DR. JANE C LANIER MD
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
12084P0800XPsychiatry Physician258305MA
22084P0804XChild & Adolescent Psychiatry Physician258305MA
32084P0804XChild & Adolescent Psychiatry Physician84850GA

General Provider Information

NPI Number : 1336435262
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. JANE C LANIER MD
Provider Business Mailing Address
First Line : 3520 PIEDMONT RD NE STE 330
Second Line :
City : ATLANTA
State : GA
Zip : 30305-1552
Country : US
Telephone Number : 404-351-2008
Fax Number : 404-351-0243
Provider Business Practice Location Address
First Line : 3520 PIEDMONT RD NE STE 330
Second Line :
City : ATLANTA
State : GA
Zip : 30305-1552
Country : US
Telephone Number : 404-351-2008
Fax Number : 404-351-0243
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/20/2011
Last Update Date : 08/03/2020

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