Provider Demographics
NPI:1265321913
Name:LANIER, ERIN
Entity type:Individual
Prefix:
First Name:ERIN
Middle Name:
Last Name:LANIER
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 1:1531 IVEYS MILL RD
Mailing Address - Street 2:
Mailing Address - City:LEARY
Mailing Address - State:GA
Mailing Address - Zip Code:39862-7410
Mailing Address - Country:US
Mailing Address - Phone:229-537-0282
Mailing Address - Fax:
Practice Address - Street 1:1212 US HIGHWAY 19 S
Practice Address - Street 2:
Practice Address - City:LEESBURG
Practice Address - State:GA
Practice Address - Zip Code:31763-4877
Practice Address - Country:US
Practice Address - Phone:229-431-0569
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-06-30
Last Update Date:2025-06-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GA035539183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist