Provider Demographics
NPI:1821864018
Name:LANING, EMILY MICHELL
Entity Type:Individual
Prefix:
First Name:EMILY
Middle Name:MICHELL
Last Name:LANING
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 1:2591 SW COUNTY ROAD 6508
Mailing Address - Street 2:
Mailing Address - City:RICH HILL
Mailing Address - State:MO
Mailing Address - Zip Code:64779-7945
Mailing Address - Country:US
Mailing Address - Phone:417-321-7177
Mailing Address - Fax:
Practice Address - Street 1:5195 MAGNOLIA DR
Practice Address - Street 2:
Practice Address - City:JOPLIN
Practice Address - State:MO
Practice Address - Zip Code:64801-6406
Practice Address - Country:US
Practice Address - Phone:417-684-7415
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-11-28
Last Update Date:2023-11-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MO2021016233224Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes224Z00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapy Assistant