| Doctor Name: | MR. LANCE SWANEY |
| NPI Number: | 1528233368 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | LSW |
| License Number: | SW009948L |
| Business Practice Address: | Beaver Road Glade Run Lutheran Services Zelienople, PA - 160630070 |
| Business Phone Number: | 7244524453 |
| Business Fax Number: | |
| Mailing Address: | Po Box 70, ZELIENOPLE |
| State: | PA |
| Postal Code: | 160630070 |
| Phone Number: | 7244524453 |
| Fax Number: | |
| NPI Enumeration Date: | 04/23/2008 |
| NPI Last Update Date: | 04/23/2008 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 101YM0800X |
| License Number: | SW009948L |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | PA |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Counselor |
| Taxonomy Specialization: | Mental Health |
| Taxonomy Definition: | |