Provider Demographics
NPI:1215820394
Name:LANFEAR, LANI
Entity type:Individual
Prefix:
First Name:LANI
Middle Name:
Last Name:LANFEAR
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 1:7415 SOUTHWEST PARKWAY
Mailing Address - Street 2:BLDG. 6 SUITE 500-300
Mailing Address - City:AUSTIN
Mailing Address - State:TX
Mailing Address - Zip Code:78735
Mailing Address - Country:US
Mailing Address - Phone:512-795-1880
Mailing Address - Fax:
Practice Address - Street 1:7415 SOUTHWEST PARKWAY
Practice Address - Street 2:BLDG. 6 SUITE 500-300
Practice Address - City:AUSTIN
Practice Address - State:TX
Practice Address - Zip Code:78735
Practice Address - Country:US
Practice Address - Phone:512-795-1880
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-05-29
Last Update Date:2025-05-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX024110251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health