Provider Demographics
NPI:1508155607
Name:LANKEN, ALAN CRISTOPHER
Entity Type:Individual
Prefix:
First Name:ALAN
Middle Name:CRISTOPHER
Last Name:LANKEN
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3329 LAKE VIEW CIR
Mailing Address - Street 2:
Mailing Address - City:MELBOURNE
Mailing Address - State:FL
Mailing Address - Zip Code:32934-8376
Mailing Address - Country:US
Mailing Address - Phone:321-339-9582
Mailing Address - Fax:
Practice Address - Street 1:3329 LAKE VIEW CIR
Practice Address - Street 2:
Practice Address - City:MELBOURNE
Practice Address - State:FL
Practice Address - Zip Code:32934-8376
Practice Address - Country:US
Practice Address - Phone:321-339-9582
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2011-03-30
Last Update Date:2017-12-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171M00000XOther Service ProvidersCase Manager/Care Coordinator