MEDICARE: ALAN MATTHEW LANIER OD

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	390200000X	Student in an Organized Health Care Education/Training Program

General Provider Information

NPI Number	:	1669306809
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ALAN MATTHEW LANIER OD

Provider Business Mailing Address
First Line	:	145 CALAIS CT SE
Second Line	:
City	:	GRAND RAPIDS
State	:	MI
Zip	:	49546-1507
Country	:	US
Telephone Number	:	616-560-7772
Fax Number	:

Provider Business Practice Location Address
First Line	:	25200 LA PAZ RD STE 100
Second Line	:
City	:	LAGUNA HILLS
State	:	CA
Zip	:	92653-5134
Country	:	US
Telephone Number	:	949-489-2218
Fax Number	:

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

Provider Enumeration Date	:	06/11/2026
Last Update Date	:	06/11/2026

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