Provider Demographics
NPI:1023007606
Name:LANEY, DAWN A (MS)
Entity Type:Individual
Prefix:MS
First Name:DAWN
Middle Name:A
Last Name:LANEY
Suffix:
Gender:F
Credentials:MS
Other - Prefix:MS
Other - First Name:DAWN
Other - Middle Name:
Other - Last Name:JACOB LANEY
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:MS
Mailing Address - Street 1:2165 N DECATUR RD
Mailing Address - Street 2:DIVISION OF MEDICAL GENETICS
Mailing Address - City:DECATUR
Mailing Address - State:GA
Mailing Address - Zip Code:30033-5307
Mailing Address - Country:US
Mailing Address - Phone:404-778-8518
Mailing Address - Fax:404-778-8562
Practice Address - Street 1:2165 N DECATUR RD
Practice Address - Street 2:DIVISION OF MEDICAL GENETICS
Practice Address - City:DECATUR
Practice Address - State:GA
Practice Address - Zip Code:30033-5307
Practice Address - Country:US
Practice Address - Phone:404-778-8518
Practice Address - Fax:404-778-8562
Is Sole Proprietor?:Not Answered
Enumeration Date:2005-10-17
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes170300000XOther Service ProvidersGenetic Counselor, MS