Doctor Name: | MR. ROBERT DUDLEY LANSER |
NPI Number: | 1033263785 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | LCSW |
License Number: | LCSW-3066 |
Business Practice Address: | 1787 Wili Pa Loop Ste 7 Wailuku, HI - 967931271 |
Business Phone Number: | 8082492121 |
Business Fax Number: | 8082428920 |
Mailing Address: | 1787 Wili Pa Loop Ste 7, WAILUKU |
State: | HI |
Postal Code: | 967931271 |
Phone Number: | 8082492121 |
Fax Number: | 8082428920 |
NPI Enumeration Date: | 01/22/2007 |
NPI Last Update Date: | 09/28/2015 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 1041C0700X |
License Number: | LCSW-3066 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | HI |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Social Worker |
Taxonomy Specialization: | Clinical |
Taxonomy Definition: | A social worker who holds a master |