| Doctor Name: | LANA K DOUGHTY |
| NPI Number: | 1023040920 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | RNCS, APRN |
| License Number: | 121048 |
| Business Practice Address: | 85 Eastern Ave Suite 206 Gloucester, MA - 019301869 |
| Business Phone Number: | 9783372437 |
| Business Fax Number: | |
| Mailing Address: | 120 Wheeler St, GLOUCESTER |
| State: | MA |
| Postal Code: | 019301648 |
| Phone Number: | 9783372437 |
| Fax Number: | |
| NPI Enumeration Date: | 07/07/2006 |
| NPI Last Update Date: | 07/09/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 364SP0808X |
| License Number: | 121048 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | MA |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Clinical Nurse Specialist |
| Taxonomy Specialization: | Psych/Mental Health |
| Taxonomy Definition: | |