Provider Demographics
NPI:1679190995
Name:JOHN M LANEY DC
Entity Type:Organization
Organization Name:JOHN M LANEY DC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:JOHN
Authorized Official - Middle Name:MARK
Authorized Official - Last Name:LANEY
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:207-623-4222
Mailing Address - Street 1:213 CAPITOL ST
Mailing Address - Street 2:
Mailing Address - City:AUGUSTA
Mailing Address - State:ME
Mailing Address - Zip Code:04330-6232
Mailing Address - Country:US
Mailing Address - Phone:207-623-4222
Mailing Address - Fax:207-623-2343
Practice Address - Street 1:213 CAPITOL ST
Practice Address - Street 2:
Practice Address - City:AUGUSTA
Practice Address - State:ME
Practice Address - Zip Code:04330-6232
Practice Address - Country:US
Practice Address - Phone:207-623-4222
Practice Address - Fax:207-623-2343
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:JOHN M LANEY DC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2020-07-02
Last Update Date:2020-07-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty