Doctor Name: | LANIS DIEKER |
NPI Number: | 1003020827 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | LSCSW |
License Number: | 2243 |
Business Practice Address: | 420 W 15th Ave Emporia, KS - 668015367 |
Business Phone Number: | 6203424864 |
Business Fax Number: | |
Mailing Address: | 911 Whildin St, EMPORIA |
State: | KS |
Postal Code: | 668013464 |
Phone Number: | |
Fax Number: | |
NPI Enumeration Date: | 05/10/2007 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 1041C0700X |
License Number: | 2243 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | KS |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Social Worker |
Taxonomy Specialization: | Clinical |
Taxonomy Definition: | A social worker who holds a master |