Provider Demographics
NPI:1457678419
Name:LANIER, KARLA ELIZABETH (PHARMD, BCPS, BCACP)
Entity Type:Individual
Prefix:
First Name:KARLA
Middle Name:ELIZABETH
Last Name:LANIER
Suffix:
Gender:F
Credentials:PHARMD, BCPS, BCACP
Other - Prefix:
Other - First Name:LIBBY
Other - Middle Name:
Other - Last Name:LANIER
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:PHARMD, BCPS, BCACP
Mailing Address - Street 1:306 SHORTER AVE NW
Mailing Address - Street 2:
Mailing Address - City:ROME
Mailing Address - State:GA
Mailing Address - Zip Code:30165-4268
Mailing Address - Country:US
Mailing Address - Phone:256-453-2703
Mailing Address - Fax:706-509-3666
Practice Address - Street 1:306 SHORTER AVE NW
Practice Address - Street 2:
Practice Address - City:ROME
Practice Address - State:GA
Practice Address - Zip Code:30165-4268
Practice Address - Country:US
Practice Address - Phone:706-509-3524
Practice Address - Fax:706-509-3666
Is Sole Proprietor?:No
Enumeration Date:2010-04-29
Last Update Date:2020-09-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GARPH0301741835P2201X, 1835P0018X, 1835P1300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1835P0018XPharmacy Service ProvidersPharmacistPharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
No1835P2201XPharmacy Service ProvidersPharmacistAmbulatory Care
No1835P1300XPharmacy Service ProvidersPharmacistPsychiatric
Provider Identifiers
StateIdentifier IDID TypeIssuer
AL17298OtherPHARMACIST LICENSE
SC011967OtherPHARMACIST LICENSE
GARPH030174OtherPHARMACIST LICENSE