Provider Demographics
NPI:1013331701
Name:KAISER, LANA (MD)
Entity Type:Individual
Prefix:DR
First Name:LANA
Middle Name:
Last Name:KAISER
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2400 S EIFERT RD
Mailing Address - Street 2:
Mailing Address - City:MASON
Mailing Address - State:MI
Mailing Address - Zip Code:48854-9709
Mailing Address - Country:US
Mailing Address - Phone:517-628-2231
Mailing Address - Fax:517-628-2231
Practice Address - Street 1:2400 S EIFERT RD
Practice Address - Street 2:
Practice Address - City:MASON
Practice Address - State:MI
Practice Address - Zip Code:48854-9709
Practice Address - Country:US
Practice Address - Phone:517-628-2231
Practice Address - Fax:517-628-2231
Is Sole Proprietor?:Yes
Enumeration Date:2014-02-14
Last Update Date:2014-02-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI4301040899207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine