Provider Demographics
NPI:1558188383
Name:LANSING, EMILY JO
Entity type:Individual
Prefix:
First Name:EMILY
Middle Name:JO
Last Name:LANSING
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1719 HUTCHINS ST
Mailing Address - Street 2:
Mailing Address - City:PORTSMOUTH
Mailing Address - State:OH
Mailing Address - Zip Code:45662-3159
Mailing Address - Country:US
Mailing Address - Phone:740-464-7679
Mailing Address - Fax:
Practice Address - Street 1:1719 HUTCHINS ST
Practice Address - Street 2:
Practice Address - City:PORTSMOUTH
Practice Address - State:OH
Practice Address - Zip Code:45662-3159
Practice Address - Country:US
Practice Address - Phone:740-464-7679
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-09-23
Last Update Date:2024-09-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes374U00000XNursing Service Related ProvidersHome Health Aide