Provider Demographics
NPI:1891388898
Name:WARE, LANIECE E (HHP)
Entity type:Individual
Prefix:
First Name:LANIECE
Middle Name:E
Last Name:WARE
Suffix:
Gender:F
Credentials:HHP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4068 GALLATIN DR
Mailing Address - Street 2:
Mailing Address - City:OBETZ
Mailing Address - State:OH
Mailing Address - Zip Code:43207-4391
Mailing Address - Country:US
Mailing Address - Phone:844-257-9399
Mailing Address - Fax:
Practice Address - Street 1:4068 GALLATIN DR
Practice Address - Street 2:
Practice Address - City:OBETZ
Practice Address - State:OH
Practice Address - Zip Code:43207-4391
Practice Address - Country:US
Practice Address - Phone:844-257-9399
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2021-02-19
Last Update Date:2021-02-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes374K00000XNursing Service Related ProvidersReligious Nonmedical PractitionerGroup - Multi-Specialty