MEDICARE: DR. DEANN LEE LANAHAN DC

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	111N00000X	Chiropractor	1661	OH

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1871597831
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. DEANN LEE LANAHAN DC

Provider Business Mailing Address
First Line	:	901 OHIO PIKE
Second Line	:	STE 100
City	:	CINCINNATI
State	:	OH
Zip	:	45245-2330
Country	:	US
Telephone Number	:	513-753-0066
Fax Number	:	513-943-2541

Provider Business Practice Location Address
First Line	:	901 OHIO PIKE
Second Line	:	SUITE 100
City	:	CINCINNATI
State	:	OH
Zip	:	45245
Country	:	US
Telephone Number	:	513-753-0066
Fax Number	:	513-943-2541

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

Provider Enumeration Date	:	06/08/2005
Last Update Date	:	10/20/2008

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