1538204409 NPI number — MS. LANA C SWOPE MA,CCC-A

Table of content: MS. LANA C SWOPE MA,CCC-A (NPI 1538204409)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1538204409 NPI number — MS. LANA C SWOPE MA,CCC-A

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
SWOPE
Provider First Name:
LANA
Provider Middle Name:
C
Provider Name Prefix Text:
MS.
Provider Name Suffix Text:
Provider Credential Text:
MA,CCC-A
Provider Gender Code:
F

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1538204409
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
03/01/2012
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
1825 MARTHA BERRY BLVD NW
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
ROME
Provider Business Mailing Address State Name:
GA
Provider Business Mailing Address Postal Code:
30165-1625
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
706-295-5331
Provider Business Mailing Address Fax Number:

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
1825 MARTHA BERRY BLVD NW
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
ROME
Provider Business Practice Location Address State Name:
GA
Provider Business Practice Location Address Postal Code:
30165-1625
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
706-295-5331
Provider Business Practice Location Address Fax Number:
706-238-8072
Provider Enumeration Date:
02/20/2007

Additional Information

Authorized Official

Authorized Official Last Name:
Authorized Official First Name:
Authorized Official Middle Name:
Authorized Official Title or Position:
Authorized Official Telephone Number:

Provider Taxonomy Codes

  • Taxonomy code: 231H00000X , with the licence number:  AUD003771 , registered in the state of GA ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .
  • Taxonomy code: 237600000X , with the licence number: AUD003771 , registered in the state of GA ; information, associated with the NPI states the following Primary Taxonomy Switch: "N" .

Other Provider's Identifiers (legacy, non-NPI)

  • Identifier: 077577596G , issued by the state of ( GA ) . This identifiers is of the category "MEDICAID".
  • Identifier: 077577596H , issued by the state of ( GA ) . This identifiers is of the category "MEDICAID".
  • Identifier: 077577596I , issued by the state of ( GA ) . This identifiers is of the category "MEDICAID".
  • Identifier: 077577596F , issued by the state of ( GA ) . This identifiers is of the category "MEDICAID".
  • Identifier: 077577596J , issued by the state of ( GA ) . This identifiers is of the category "MEDICAID".
  • Identifier: 077577596E , issued by the state of ( GA ) . This identifiers is of the category "MEDICAID".




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