| Doctor Name: | SUSAN R. DANA |
| NPI Number: | 1063623007 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | RNC, IBCLC |
| License Number: | 14-42410-062 |
| Business Practice Address: | 5700 W 79th St Prairie Village, KS - 662084604 |
| Business Phone Number: | 9137107811 |
| Business Fax Number: | |
| Mailing Address: | 5700 W 79th St, PRAIRIE VILLAGE |
| State: | KS |
| Postal Code: | 662084604 |
| Phone Number: | 9137107811 |
| Fax Number: | |
| NPI Enumeration Date: | 05/24/2007 |
| NPI Last Update Date: | 07/08/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 163WL0100X |
| License Number: | 14-42410-062 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | KS |
| Taxonomy Type: | Nursing Service Providers |
| Taxonomy Classification: | Registered Nurse |
| Taxonomy Specialization: | Lactation Consultant |
| Taxonomy Definition: | |