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NPI Code Detail

MEDICARE: HEIDI LANIER

MEDICARE:   HEIDI  LANIER
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
1101YM0800XMental Health Counselor

General Provider Information

NPI Number : 1366612061
Entity Type Code : Individual
Provider Name (Legal Business Name) : HEIDI LANIER
Provider Business Mailing Address
First Line : 700 SE CROSS ST
Second Line :
City : MOUNT STERLING
State : IL
Zip : 62353-1561
Country : US
Telephone Number : 217-773-3325
Fax Number : 217-773-2425
Provider Business Practice Location Address
First Line : 700 SE CROSS ST
Second Line :
City : MOUNT STERLING
State : IL
Zip : 62353-1561
Country : US
Telephone Number : 217-773-3325
Fax Number : 217-773-2425
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/10/2008
Last Update Date : 03/10/2008

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Directions to “ HEIDI LANIER ” Practice Location

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