Provider Demographics
NPI:1144032616
Name:LANNING, PAIGE MADALYN
Entity type:Individual
Prefix:
First Name:PAIGE
Middle Name:MADALYN
Last Name:LANNING
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5064 CRITES DR
Mailing Address - Street 2:
Mailing Address - City:SOUTH BLOOMFIELD
Mailing Address - State:OH
Mailing Address - Zip Code:43103-1132
Mailing Address - Country:US
Mailing Address - Phone:614-425-6671
Mailing Address - Fax:
Practice Address - Street 1:5064 CRITES DR
Practice Address - Street 2:
Practice Address - City:SOUTH BLOOMFIELD
Practice Address - State:OH
Practice Address - Zip Code:43103-1132
Practice Address - Country:US
Practice Address - Phone:614-425-6671
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-01-22
Last Update Date:2025-01-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes376J00000XNursing Service Related ProvidersHomemaker