Mayhew, Lana M

Mayhew, Lana M is an individual health care provider with primary practice located at 1320 Woodman Dr , Dayton OH 45432-3497. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Mayhew, Lana M can be contacted via phone (937) 223-1781.

Contact Information

Primary practice address
1320 Woodman Dr Dayton OH 45432-3497
Fax: (937) 424-8656
Website:

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 1041C0700X S0021247 Ohio

Profile Details

NPI number 1780661637
LBN Legal business name Mayhew, Lana M
Credentials MAT, LSW
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 30th, 2005
Last updated Feb 1st, 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1780661637 NPPES
Ohio MEDICAID 2272231

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