Provider Demographics
NPI:1104063361
Name:BELZ, LANA FAY (RN)
Entity type:Individual
Prefix:
First Name:LANA
Middle Name:FAY
Last Name:BELZ
Suffix:
Gender:F
Credentials:RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:P.O. BOX 1816
Mailing Address - Street 2:
Mailing Address - City:CLEVELAND
Mailing Address - State:TX
Mailing Address - Zip Code:77328
Mailing Address - Country:US
Mailing Address - Phone:281-592-8088
Mailing Address - Fax:291-593-0060
Practice Address - Street 1:203 N COLLEGE
Practice Address - Street 2:SUITE 1001
Practice Address - City:CLEVELAND
Practice Address - State:TX
Practice Address - Zip Code:77327
Practice Address - Country:US
Practice Address - Phone:281-592-8088
Practice Address - Fax:291-593-0060
Is Sole Proprietor?:No
Enumeration Date:2009-01-09
Last Update Date:2009-01-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX697609163WM0705X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WM0705XNursing Service ProvidersRegistered NurseMedical-Surgical