Provider Demographics
NPI:1457583429
Name:LANIER, THURMOND DWAYNE (DPM)
Entity Type:Individual
Prefix:DR
First Name:THURMOND
Middle Name:DWAYNE
Last Name:LANIER
Suffix:
Gender:M
Credentials:DPM
Other - Prefix:
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Other - Middle Name:
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Other - Credentials:
Mailing Address - Street 1:PO BOX 744786
Mailing Address - Street 2:
Mailing Address - City:ATLANTA
Mailing Address - State:GA
Mailing Address - Zip Code:30374-4786
Mailing Address - Country:US
Mailing Address - Phone:704-834-2450
Mailing Address - Fax:704-671-5331
Practice Address - Street 1:2391 COURT DR STE 100
Practice Address - Street 2:
Practice Address - City:GASTONIA
Practice Address - State:NC
Practice Address - Zip Code:28054-2197
Practice Address - Country:US
Practice Address - Phone:980-834-7300
Practice Address - Fax:980-834-9874
Is Sole Proprietor?:No
Enumeration Date:2009-08-10
Last Update Date:2021-11-30
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
WI1023213ES0103X
NC588213ES0103X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes213ES0103XPodiatric Medicine & Surgery Service ProvidersPodiatristFoot & Ankle Surgery