Provider Demographics
NPI:1164869756
Name:LANNING, KATHERINE MILLS (MD)
Entity Type:Individual
Prefix:
First Name:KATHERINE
Middle Name:MILLS
Last Name:LANNING
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:285 BOULEVARD NE STE 415
Mailing Address - Street 2:
Mailing Address - City:ATLANTA
Mailing Address - State:GA
Mailing Address - Zip Code:30312-4210
Mailing Address - Country:US
Mailing Address - Phone:404-265-4400
Mailing Address - Fax:
Practice Address - Street 1:285 BOULEVARD NE STE 415
Practice Address - Street 2:
Practice Address - City:ATLANTA
Practice Address - State:GA
Practice Address - Zip Code:30312-4210
Practice Address - Country:US
Practice Address - Phone:404-265-4400
Practice Address - Fax:404-265-4452
Is Sole Proprietor?:Yes
Enumeration Date:2013-05-23
Last Update Date:2019-11-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GA784882084N0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084N0400XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyNeurology