MEDICARE: WESLEY 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
1	2251N0400X	Neurology Physical Therapist

General Provider Information

NPI Number	:	1609673235
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	WESLEY LANIER

Provider Business Mailing Address
First Line	:	335 GLESSNER AVE
Second Line	:
City	:	MANSFIELD
State	:	OH
Zip	:	44903-2269
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	4343 N ORACLE RD
Second Line	:
City	:	TUCSON
State	:	AZ
Zip	:	85705-1665
Country	:	US
Telephone Number	:	520-591-5346
Fax Number	:

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

Provider Enumeration Date	:	03/01/2025
Last Update Date	:	05/07/2025

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Directions to “ WESLEY LANIER ” Practice Location

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