Provider Demographics
NPI:1144422296
Name:LANA, ROSANN L (MD)
Entity type:Individual
Prefix:DR
First Name:ROSANN
Middle Name:L
Last Name:LANA
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4575 MAIN ST
Mailing Address - Street 2:
Mailing Address - City:AMHERST
Mailing Address - State:NY
Mailing Address - Zip Code:14226-4567
Mailing Address - Country:US
Mailing Address - Phone:716-633-4575
Mailing Address - Fax:716-633-4576
Practice Address - Street 1:4575 MAIN ST
Practice Address - Street 2:
Practice Address - City:AMHERST
Practice Address - State:NY
Practice Address - Zip Code:14226-4567
Practice Address - Country:US
Practice Address - Phone:716-633-4575
Practice Address - Fax:716-633-4576
Is Sole Proprietor?:No
Enumeration Date:2007-06-01
Last Update Date:2020-04-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY243709207V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & Gynecology
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY434275OtherWELLCARE
NY205959CKOtherPREFERRED CARE
NY000529214001OtherBC/BS
NY0164402OtherGHI
NY02887805Medicaid
NY070807000135OtherFIDELIS CARE
NY00028113601OtherUNIVERA
NY0714205OtherINDEPENDENT HEALTH
NY0164402OtherGHI
NY00028113601OtherUNIVERA
NY070807000135OtherFIDELIS CARE