Provider Demographics
NPI:1508284662
Name:HOKE, LANA
Entity Type:Individual
Prefix:
First Name:LANA
Middle Name:
Last Name:HOKE
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 1:14075 S 1ST ST
Mailing Address - Street 2:STE R
Mailing Address - City:MILAN
Mailing Address - State:TN
Mailing Address - Zip Code:38358-6195
Mailing Address - Country:US
Mailing Address - Phone:731-686-2010
Mailing Address - Fax:731-686-3798
Practice Address - Street 1:14075 S 1ST ST
Practice Address - Street 2:STE R
Practice Address - City:MILAN
Practice Address - State:TN
Practice Address - Zip Code:38358-6195
Practice Address - Country:US
Practice Address - Phone:731-686-2010
Practice Address - Fax:731-686-3798
Is Sole Proprietor?:No
Enumeration Date:2014-04-04
Last Update Date:2014-04-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN925225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist