Provider Demographics
NPI:1790244739
Name:IRONS, LANA BRIENNE (MD)
Entity Type:Individual
Prefix:
First Name:LANA
Middle Name:BRIENNE
Last Name:IRONS
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:LANCE
Other - Middle Name:BANNER
Other - Last Name:IRONS
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MD
Mailing Address - Street 1:1 EAGLE ST APT 3506
Mailing Address - Street 2:
Mailing Address - City:BROOKLYN
Mailing Address - State:NY
Mailing Address - Zip Code:11222-7789
Mailing Address - Country:US
Mailing Address - Phone:757-240-6354
Mailing Address - Fax:
Practice Address - Street 1:451 CLARKSON AVE
Practice Address - Street 2:
Practice Address - City:BROOKLYN
Practice Address - State:NY
Practice Address - Zip Code:11203-2054
Practice Address - Country:US
Practice Address - Phone:917-890-9638
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2019-03-19
Last Update Date:2024-03-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY316776-012084P0800X
390200000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry