Most Relevant Information
Provider Data
NPI Number: | 1003020827 |
Provider Name: | LANIS DIEKER LSCSW |
Entity Type: | Individual |
Taxonomy Code: | 1041C0700X |
Specialty: | Social Worker |
License Number: | 2243 |
Most Important Dates
Enumeration Date: | 05/10/2007 |
Last Updated: | 07/08/2007 |
Provider Practice Location
420 W 15TH AVE
EMPORIA
KS
668015367
Practice Location Phone/Fax
Phone: | 6203424864 |
Fax: |
Provider Mailing Location
911 WHILDIN ST
EMPORIA
KS
668013464
Provider Mailing Phone/Fax
Phone: | |
Fax: |