Provider Demographics
NPI:1699987222
Name:VORONIN, LANA (MD)
Entity type:Individual
Prefix:DR
First Name:LANA
Middle Name:
Last Name:VORONIN
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:SVETLANA
Other - Middle Name:
Other - Last Name:VORONINA
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:1445 ROYCE ST
Mailing Address - Street 2:APT 2-C
Mailing Address - City:BROOKLYN
Mailing Address - State:NY
Mailing Address - Zip Code:11234-5935
Mailing Address - Country:US
Mailing Address - Phone:718-375-0237
Mailing Address - Fax:
Practice Address - Street 1:2966 OCEAN AVE
Practice Address - Street 2:
Practice Address - City:BROOKLYN
Practice Address - State:NY
Practice Address - Zip Code:11235-3202
Practice Address - Country:US
Practice Address - Phone:718-934-5065
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-05-04
Last Update Date:2009-02-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY60-240849208000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208000000XAllopathic & Osteopathic PhysiciansPediatrics