Provider Demographics
NPI:1548448103
Name:LANNING, JASON KIPP (LIMHP)
Entity type:Individual
Prefix:MR
First Name:JASON
Middle Name:KIPP
Last Name:LANNING
Suffix:
Gender:M
Credentials:LIMHP
Other - Prefix:
Other - First Name:
Other - Middle Name:
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Mailing Address - Street 1:420 COTTONWOOD DR
Mailing Address - Street 2:
Mailing Address - City:LINCOLN
Mailing Address - State:NE
Mailing Address - Zip Code:68510-4302
Mailing Address - Country:US
Mailing Address - Phone:402-429-6879
Mailing Address - Fax:402-483-0423
Practice Address - Street 1:1001 SOUTH 70TH
Practice Address - Street 2:SUITE 225
Practice Address - City:LINCOLN
Practice Address - State:NE
Practice Address - Zip Code:68510-7906
Practice Address - Country:US
Practice Address - Phone:402-429-6879
Practice Address - Fax:402-817-3681
Is Sole Proprietor?:Yes
Enumeration Date:2008-02-06
Last Update Date:2011-11-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NE735101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health