Provider Demographics
NPI:1780742239
Name:SCHULMAN, LANA M (CSW)
Entity type:Individual
Prefix:MS
First Name:LANA
Middle Name:M
Last Name:SCHULMAN
Suffix:
Gender:F
Credentials:CSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:SUITE 304
Mailing Address - Street 2:2151 E COMMERCIAL BLVD
Mailing Address - City:FT LAUDERDALE
Mailing Address - State:FL
Mailing Address - Zip Code:33308-3807
Mailing Address - Country:US
Mailing Address - Phone:954-938-7011
Mailing Address - Fax:954-938-7019
Practice Address - Street 1:2151 E COMMERCIAL BLVD
Practice Address - Street 2:SUITE 304
Practice Address - City:FT LAUDERDALE
Practice Address - State:FL
Practice Address - Zip Code:33308-3807
Practice Address - Country:US
Practice Address - Phone:954-938-7011
Practice Address - Fax:954-938-7019
Is Sole Proprietor?:Yes
Enumeration Date:2006-12-05
Last Update Date:2008-08-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLSW21121041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
Provider Identifiers
StateIdentifier IDID TypeIssuer
FLZ5390Medicare PIN