Provider Demographics
NPI:1336907419
Name:STANLEY, LANEE NICOLE
Entity Type:Individual
Prefix:
First Name:LANEE
Middle Name:NICOLE
Last Name:STANLEY
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 1:2120 E FIRE TOWER RD # 107-1089
Mailing Address - Street 2:
Mailing Address - City:GREENVILLE
Mailing Address - State:NC
Mailing Address - Zip Code:27858-8013
Mailing Address - Country:US
Mailing Address - Phone:252-481-3236
Mailing Address - Fax:
Practice Address - Street 1:2120 E FIRE TOWER RD # 107-1089
Practice Address - Street 2:
Practice Address - City:GREENVILLE
Practice Address - State:NC
Practice Address - Zip Code:27858-8013
Practice Address - Country:US
Practice Address - Phone:252-481-3236
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-03-12
Last Update Date:2024-03-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes374J00000XNursing Service Related ProvidersDoula