Provider Demographics
NPI:1861861817
Name:HERMAN, LANA
Entity Type:Individual
Prefix:MRS
First Name:LANA
Middle Name:
Last Name:HERMAN
Suffix:
Gender:F
Credentials:
Other - Prefix:MS
Other - First Name:LANA
Other - Middle Name:
Other - Last Name:CAPIZOLA
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:770 WOODLANE RD STE 35
Mailing Address - Street 2:
Mailing Address - City:WESTAMPTON
Mailing Address - State:NJ
Mailing Address - Zip Code:08060-3803
Mailing Address - Country:US
Mailing Address - Phone:609-364-2706
Mailing Address - Fax:
Practice Address - Street 1:770 WOODLANE RD STE 35
Practice Address - Street 2:
Practice Address - City:WESTAMPTON
Practice Address - State:NJ
Practice Address - Zip Code:08060-3803
Practice Address - Country:US
Practice Address - Phone:609-364-2706
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2015-09-21
Last Update Date:2015-10-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health