Provider Demographics
NPI:1912077991
Name:DACAR, LANA (PT)
Entity Type:Individual
Prefix:
First Name:LANA
Middle Name:
Last Name:DACAR
Suffix:
Gender:F
Credentials:PT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:412 W JACKSON BLVD
Mailing Address - Street 2:
Mailing Address - City:SPEARFISH
Mailing Address - State:SD
Mailing Address - Zip Code:57783-1936
Mailing Address - Country:US
Mailing Address - Phone:605-717-0337
Mailing Address - Fax:
Practice Address - Street 1:CROOK COUNTY MEMORIAL SERVICE DISTRICT
Practice Address - Street 2:
Practice Address - City:SUNDANCE
Practice Address - State:WY
Practice Address - Zip Code:82729-0928
Practice Address - Country:US
Practice Address - Phone:307-283-3516
Practice Address - Fax:307-283-3515
Is Sole Proprietor?:No
Enumeration Date:2006-11-08
Last Update Date:2017-03-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist