Provider Demographics
NPI:1083940282
Name:BLINER, LANA P (NP-C)
Entity Type:Individual
Prefix:
First Name:LANA
Middle Name:P
Last Name:BLINER
Suffix:
Gender:F
Credentials:NP-C
Other - Prefix:
Other - First Name:LANA
Other - Middle Name:BUCKERY
Other - Last Name:BLINER
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:NP-C
Mailing Address - Street 1:1200 BROOKS LN
Mailing Address - Street 2:SUITE 285
Mailing Address - City:CLAIRTON
Mailing Address - State:PA
Mailing Address - Zip Code:15025-3747
Mailing Address - Country:US
Mailing Address - Phone:412-469-6956
Mailing Address - Fax:412-469-3799
Practice Address - Street 1:1200 BROOKS LN
Practice Address - Street 2:SUITE NUMBER 285
Practice Address - City:CLAIRTON
Practice Address - State:PA
Practice Address - Zip Code:15025-3747
Practice Address - Country:US
Practice Address - Phone:412-449-6956
Practice Address - Fax:412-469-3799
Is Sole Proprietor?:Yes
Enumeration Date:2009-10-22
Last Update Date:2020-10-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PASPO10468363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
Provider Identifiers
StateIdentifier IDID TypeIssuer
PASPO10468OtherLICENSE