Provider Demographics
NPI:1013504794
Name:LANNING, KAREN ELAINE
Entity Type:Individual
Prefix:
First Name:KAREN
Middle Name:ELAINE
Last Name:LANNING
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 1:13390 DAWLEY RD
Mailing Address - Street 2:
Mailing Address - City:NELSONVILLE
Mailing Address - State:OH
Mailing Address - Zip Code:45764-9604
Mailing Address - Country:US
Mailing Address - Phone:740-590-7821
Mailing Address - Fax:
Practice Address - Street 1:13390 DAWLEY RD
Practice Address - Street 2:
Practice Address - City:NELSONVILLE
Practice Address - State:OH
Practice Address - Zip Code:45764-9604
Practice Address - Country:US
Practice Address - Phone:740-590-7821
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2020-12-28
Last Update Date:2020-12-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes374U00000XNursing Service Related ProvidersHome Health Aide