Basic Information
Provider Information
NPI: 1669526810
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: LANEY
FirstName: ALISON
MiddleName: JEANNE
NamePrefix:  
NameSuffix:  
Credential: N.P.
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: 27303 SLEEPY HOLLOW AVE S
Address2: KAISER HAYWARD
City: HAYWARD
State: CA
PostalCode: 945454203
CountryCode: US
TelephoneNumber: 5104541000
FaxNumber: 5103380399
Practice Location
Address1: 27303 SLEEPY HOLLOW AVE S
Address2:  
City: HAYWARD
State: CA
PostalCode: 945454203
CountryCode: US
TelephoneNumber: 5104541000
FaxNumber: 5104505813
Other Information
ProviderEnumerationDate: 01/23/2007
LastUpdateDate: 12/30/2021
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: F
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: N
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate:  

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
163W00000X574441CAN Nursing Service ProvidersRegistered Nurse 
363L00000X13981CAY Physician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner 

No ID Information.


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