Provider Demographics
NPI:1861400319
Name:LANKFORD, D ALAN (PHD)
Entity type:Individual
Prefix:DR
First Name:D
Middle Name:ALAN
Last Name:LANKFORD
Suffix:
Gender:M
Credentials:PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5505 PEACHTREE DUNWOODY ROAD
Mailing Address - Street 2:SUITE 380
Mailing Address - City:ATLANTA
Mailing Address - State:GA
Mailing Address - Zip Code:30342
Mailing Address - Country:US
Mailing Address - Phone:404-257-0080
Mailing Address - Fax:404-257-0592
Practice Address - Street 1:5505 PEACHTREE DUNWOODY ROAD
Practice Address - Street 2:SUITE 380
Practice Address - City:ATLANTA
Practice Address - State:GA
Practice Address - Zip Code:30342
Practice Address - Country:US
Practice Address - Phone:404-257-0080
Practice Address - Fax:404-257-0592
Is Sole Proprietor?:No
Enumeration Date:2006-08-03
Last Update Date:2013-04-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GAPSY000975173F00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes173F00000XOther Service ProvidersSleep Specialist, PhD
Provider Identifiers
StateIdentifier IDID TypeIssuer
68BBBBDMedicare ID - Type Unspecified