Lanaville, Dawn Y
Lanaville, Dawn Y is an sole proprietor health care provider with primary practice located at 303 E. Main St. Suite 7, Elizabeth City NC 27909-2790. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Clinical, Behavioral Health & Social Service Providers / Forensic. Behavioral Health & Social Service Providers / Forensic is her primary health care specialty. Lanaville, Dawn Y can be contacted via phone (252) 562-6072.Contact Information
Primary practice address
303 E. Main St. Suite 7
Elizabeth City NC 27909-2790
Phone: (252) 562-6072
Fax: (252) 562-6013
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Clinical | 103TC0700X | 5473 | North Carolina |
| Behavioral Health & Social Service Providers / Forensic | 103TF0200X | 5473 | North Carolina |
Profile Details
| NPI number | 1669943817 |
|---|---|
| LBN Legal business name | Lanaville, Dawn Y |
| Credentials | PHD |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Dec 16th, 2018 |
| Last updated | Jun 27th, 2019 - about 5 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1669943817 | NPPES |
| North Carolina | Other | 1770181 | SOSID |
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