Provider Demographics
NPI:1760586754
Name:JOYNER, LANA R (OTA)
Entity Type:Individual
Prefix:MRS
First Name:LANA
Middle Name:R
Last Name:JOYNER
Suffix:
Gender:F
Credentials:OTA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:RR 1 BOX 265
Mailing Address - Street 2:
Mailing Address - City:CARE-IN-ROCK
Mailing Address - State:IL
Mailing Address - Zip Code:62919
Mailing Address - Country:US
Mailing Address - Phone:618-289-3099
Mailing Address - Fax:618-998-9993
Practice Address - Street 1:2907 WILLIAMSON CO PKWY
Practice Address - Street 2:
Practice Address - City:MARION
Practice Address - State:IL
Practice Address - Zip Code:62959
Practice Address - Country:US
Practice Address - Phone:618-998-9894
Practice Address - Fax:618-998-9993
Is Sole Proprietor?:No
Enumeration Date:2006-09-11
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL224Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes224Z00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapy Assistant