Provider Demographics
NPI:1124182878
Name:ROBERT J LANIER, DC INC
Entity Type:Organization
Organization Name:ROBERT J LANIER, DC INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CHIROPRACTOR
Authorized Official - Prefix:DR
Authorized Official - First Name:ROBERT
Authorized Official - Middle Name:JAMES
Authorized Official - Last Name:LANIER
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:602-799-2039
Mailing Address - Street 1:4727 E BELL RD
Mailing Address - Street 2:SUITE #61
Mailing Address - City:PHOENIX
Mailing Address - State:AZ
Mailing Address - Zip Code:85032-2308
Mailing Address - Country:US
Mailing Address - Phone:602-799-2039
Mailing Address - Fax:
Practice Address - Street 1:4727 E BELL RD
Practice Address - Street 2:SUITE #61
Practice Address - City:PHOENIX
Practice Address - State:AZ
Practice Address - Zip Code:85032-2308
Practice Address - Country:US
Practice Address - Phone:602-799-2039
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-12-20
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZ5947111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
AZU74794Medicare UPIN