Provider Demographics
NPI:1508043928
Name:LANIER, JENNENE F (RRT)
Entity Type:Individual
Prefix:MS
First Name:JENNENE
Middle Name:F
Last Name:LANIER
Suffix:
Gender:F
Credentials:RRT
Other - Prefix:MS
Other - First Name:JAE
Other - Middle Name:F
Other - Last Name:LANIER
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:RRT
Mailing Address - Street 1:204 BEAVER RUN DR
Mailing Address - Street 2:
Mailing Address - City:WARNER ROBINS
Mailing Address - State:GA
Mailing Address - Zip Code:31088-6051
Mailing Address - Country:US
Mailing Address - Phone:478-258-5284
Mailing Address - Fax:
Practice Address - Street 1:204 BEAVER RUN DR
Practice Address - Street 2:
Practice Address - City:WARNER ROBINS
Practice Address - State:GA
Practice Address - Zip Code:31088-6051
Practice Address - Country:US
Practice Address - Phone:478-258-5284
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2008-01-28
Last Update Date:2009-01-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NE2214227900000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes227900000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersRespiratory Therapist, Registered