Provider Demographics
NPI:1750953360
Name:ROYER, LANA RAE (FNP)
Entity type:Individual
Prefix:
First Name:LANA
Middle Name:RAE
Last Name:ROYER
Suffix:
Gender:F
Credentials:FNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3761 MASSILLON RD
Mailing Address - Street 2:
Mailing Address - City:UNIONTOWN
Mailing Address - State:OH
Mailing Address - Zip Code:44685-7730
Mailing Address - Country:US
Mailing Address - Phone:330-899-9085
Mailing Address - Fax:
Practice Address - Street 1:3761 MASSILLON RD
Practice Address - Street 2:
Practice Address - City:UNIONTOWN
Practice Address - State:OH
Practice Address - Zip Code:44685-7730
Practice Address - Country:US
Practice Address - Phone:330-899-9085
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-07-13
Last Update Date:2023-01-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHF06210051363LF0000X
OHAPRN.CNP.0029069363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily