Provider Demographics
NPI:1407907181
Name:VANSTORY, LANA SMITH (MPAS, PA-C)
Entity Type:Individual
Prefix:MS
First Name:LANA
Middle Name:SMITH
Last Name:VANSTORY
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Gender:F
Credentials:MPAS, PA-C
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Mailing Address - Street 1:1806 GLENDALE DR SW
Mailing Address - Street 2:
Mailing Address - City:WILSON
Mailing Address - State:NC
Mailing Address - Zip Code:27893-4402
Mailing Address - Country:US
Mailing Address - Phone:252-243-0566
Mailing Address - Fax:252-243-1347
Practice Address - Street 1:1806 GLENDALE DR SW
Practice Address - Street 2:
Practice Address - City:WILSON
Practice Address - State:NC
Practice Address - Zip Code:27893-4402
Practice Address - Country:US
Practice Address - Phone:252-243-0566
Practice Address - Fax:252-243-1347
Is Sole Proprietor?:No
Enumeration Date:2007-01-16
Last Update Date:2010-09-22
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Provider Licenses
StateLicense IDTaxonomies
NC102748363A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant