Provider Demographics
NPI:1477339273
Name:PASTOR, LANNA M
Entity Type:Individual
Prefix:
First Name:LANNA
Middle Name:M
Last Name:PASTOR
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7177 N CHURCHILL PL
Mailing Address - Street 2:
Mailing Address - City:CONCORD TOWNSHIP
Mailing Address - State:OH
Mailing Address - Zip Code:44077-9571
Mailing Address - Country:US
Mailing Address - Phone:440-983-9441
Mailing Address - Fax:
Practice Address - Street 1:7177 N CHURCHILL PL
Practice Address - Street 2:
Practice Address - City:CONCORD TOWNSHIP
Practice Address - State:OH
Practice Address - Zip Code:44077-9571
Practice Address - Country:US
Practice Address - Phone:440-983-9441
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-09-06
Last Update Date:2023-09-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes376J00000XNursing Service Related ProvidersHomemaker
No347C00000XTransportation ServicesPrivate Vehicle