Provider Demographics
NPI:1912190042
Name:LANHAM, DANA (RPH)
Entity Type:Individual
Prefix:MS
First Name:DANA
Middle Name:
Last Name:LANHAM
Suffix:
Gender:F
Credentials:RPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:176 MORNINGSTAR DR
Mailing Address - Street 2:
Mailing Address - City:BELLE VERNON
Mailing Address - State:PA
Mailing Address - Zip Code:15012-4778
Mailing Address - Country:US
Mailing Address - Phone:724-823-0397
Mailing Address - Fax:724-834-1218
Practice Address - Street 1:6090 ROUTE 30
Practice Address - Street 2:
Practice Address - City:GREENSBURG
Practice Address - State:PA
Practice Address - Zip Code:15601-1279
Practice Address - Country:US
Practice Address - Phone:724-837-4180
Practice Address - Fax:724-834-1218
Is Sole Proprietor?:No
Enumeration Date:2007-08-22
Last Update Date:2014-06-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PARP043169L183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist