Doctor Name: | BRIAN D LANIER |
NPI Number: | 1598720104 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | LCSW |
License Number: | C004616 |
Business Practice Address: | 4102 Pinion Drive Suite 100 Usaf Academy, CO - 80840 |
Business Phone Number: | 7193335270 |
Business Fax Number: | |
Mailing Address: | 2546 Hatch Cir, COLORADO SPRINGS |
State: | CO |
Postal Code: | 809186005 |
Phone Number: | 7196483899 |
Fax Number: | |
NPI Enumeration Date: | 04/18/2006 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 1041C0700X |
License Number: | C004616 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | NC |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Social Worker |
Taxonomy Specialization: | Clinical |
Taxonomy Definition: | A social worker who holds a master |