Provider Demographics
NPI:1154631265
Name:LANSING, GAIL E (RD,CDN)
Entity Type:Individual
Prefix:MS
First Name:GAIL
Middle Name:E
Last Name:LANSING
Suffix:
Gender:F
Credentials:RD,CDN
Other - Prefix:MS
Other - First Name:GAIL
Other - Middle Name:C
Other - Last Name:EISAMAN
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:RD
Mailing Address - Street 1:102 PARK ST
Mailing Address - Street 2:3RD FLOOR, PRUYN PAVILION
Mailing Address - City:GLENS FALLS
Mailing Address - State:NY
Mailing Address - Zip Code:12801-4403
Mailing Address - Country:US
Mailing Address - Phone:518-926-2637
Mailing Address - Fax:518-926-2091
Practice Address - Street 1:102 PARK ST
Practice Address - Street 2:3RD FLOOR, PRUYN PAVILION
Practice Address - City:GLENS FALLS
Practice Address - State:NY
Practice Address - Zip Code:12801-4403
Practice Address - Country:US
Practice Address - Phone:518-926-2637
Practice Address - Fax:518-926-2091
Is Sole Proprietor?:No
Enumeration Date:2010-10-08
Last Update Date:2010-10-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY007020133V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes133V00000XDietary & Nutritional Service ProvidersDietitian, Registered