Provider Demographics
NPI:1205409950
Name:LANA WELLNESS INC
Entity Type:Organization
Organization Name:LANA WELLNESS INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINSTRATIVE DIRECTOR
Authorized Official - Prefix:MR
Authorized Official - First Name:ZACKARY
Authorized Official - Middle Name:FORREST
Authorized Official - Last Name:RILEY
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:929-306-6928
Mailing Address - Street 1:PO BOX 220117
Mailing Address - Street 2:
Mailing Address - City:BROOKLYN
Mailing Address - State:NY
Mailing Address - Zip Code:11222-0117
Mailing Address - Country:US
Mailing Address - Phone:929-306-6928
Mailing Address - Fax:929-419-9061
Practice Address - Street 1:7 W 22ND ST FL 8
Practice Address - Street 2:
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10010-5142
Practice Address - Country:US
Practice Address - Phone:929-306-6928
Practice Address - Fax:929-419-9061
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-07-21
Last Update Date:2021-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
No171100000XOther Service ProvidersAcupuncturistGroup - Multi-Specialty