Provider Demographics
NPI:1194522706
Name:MAGER, LANA (RN, BSN, IBCLC)
Entity type:Individual
Prefix:
First Name:LANA
Middle Name:
Last Name:MAGER
Suffix:
Gender:
Credentials:RN, BSN, IBCLC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6062 E 300 S
Mailing Address - Street 2:
Mailing Address - City:GREENFIELD
Mailing Address - State:IN
Mailing Address - Zip Code:46140-9741
Mailing Address - Country:US
Mailing Address - Phone:317-363-0844
Mailing Address - Fax:
Practice Address - Street 1:6062 E 300 S
Practice Address - Street 2:
Practice Address - City:GREENFIELD
Practice Address - State:IN
Practice Address - Zip Code:46140-9741
Practice Address - Country:US
Practice Address - Phone:317-363-0844
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-03-01
Last Update Date:2025-03-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
INL-303213163WL0100X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WL0100XNursing Service ProvidersRegistered NurseLactation Consultant