Provider Demographics
NPI:1699550996
Name:TENAGLIA, LANA
Entity type:Individual
Prefix:DR
First Name:LANA
Middle Name:
Last Name:TENAGLIA
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 1:7285 SW 90TH ST UNIT D509
Mailing Address - Street 2:
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33156-1663
Mailing Address - Country:US
Mailing Address - Phone:516-510-4606
Mailing Address - Fax:
Practice Address - Street 1:7000 NW 41ST ST
Practice Address - Street 2:
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33166-6817
Practice Address - Country:US
Practice Address - Phone:786-263-5000
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-08-28
Last Update Date:2023-08-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103T00000XBehavioral Health & Social Service ProvidersPsychologist