Provider Demographics
NPI:1720086051
Name:LANS, DAVID M (DO FACP)
Entity Type:Individual
Prefix:DR
First Name:DAVID
Middle Name:M
Last Name:LANS
Suffix:
Gender:M
Credentials:DO FACP
Other - Prefix:DR
Other - First Name:DAVD
Other - Middle Name:M
Other - Last Name:LANS
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:DO FACP
Mailing Address - Street 1:838 PELHAMDALE AVE
Mailing Address - Street 2:
Mailing Address - City:NEW ROCHELLE
Mailing Address - State:NY
Mailing Address - Zip Code:10801-1032
Mailing Address - Country:US
Mailing Address - Phone:914-637-8809
Mailing Address - Fax:914-235-7708
Practice Address - Street 1:838 PELHAMDALE AVE
Practice Address - Street 2:
Practice Address - City:NEW ROCHELLE
Practice Address - State:NY
Practice Address - Zip Code:10801-1032
Practice Address - Country:US
Practice Address - Phone:914-637-8809
Practice Address - Fax:914-235-7708
Is Sole Proprietor?:Yes
Enumeration Date:2005-07-11
Last Update Date:2022-01-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY149715207RR0500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RR0500XAllopathic & Osteopathic PhysiciansInternal MedicineRheumatology
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY16F20-1Medicare ID - Type UnspecifiedMEDICARE PROVIDER NUMBER
NYE10512Medicare UPIN