Provider Demographics
NPI:1538883426
Name:DEIST, LANA ELIZABETH (CRNP)
Entity type:Individual
Prefix:
First Name:LANA
Middle Name:ELIZABETH
Last Name:DEIST
Suffix:
Gender:F
Credentials:CRNP
Other - Prefix:
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Mailing Address - Street 1:160 BETHLEHEM PIKE STE 120
Mailing Address - Street 2:
Mailing Address - City:COLMAR
Mailing Address - State:PA
Mailing Address - Zip Code:18915-9790
Mailing Address - Country:US
Mailing Address - Phone:215-997-2000
Mailing Address - Fax:215-997-2282
Practice Address - Street 1:1246 TILGHMAN STREET
Practice Address - Street 2:
Practice Address - City:ALLENTOWN
Practice Address - State:PA
Practice Address - Zip Code:18102
Practice Address - Country:US
Practice Address - Phone:484-221-8296
Practice Address - Fax:484-221-8318
Is Sole Proprietor?:No
Enumeration Date:2022-10-04
Last Update Date:2024-09-17
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
PASP026381363LP0808X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental Health