Provider Demographics
NPI:1053412213
Name:DEPPEN, LANA (ORTHOTICS/DME)
Entity type:Individual
Prefix:MS
First Name:LANA
Middle Name:
Last Name:DEPPEN
Suffix:
Gender:F
Credentials:ORTHOTICS/DME
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:9231 SILVER KING RD
Mailing Address - Street 2:
Mailing Address - City:REDDING
Mailing Address - State:CA
Mailing Address - Zip Code:96001-9769
Mailing Address - Country:US
Mailing Address - Phone:530-604-6539
Mailing Address - Fax:530-243-3277
Practice Address - Street 1:9231 SILVER KING RD
Practice Address - Street 2:
Practice Address - City:REDDING
Practice Address - State:CA
Practice Address - Zip Code:96001-9769
Practice Address - Country:US
Practice Address - Phone:530-604-6539
Practice Address - Fax:530-243-3277
Is Sole Proprietor?:Yes
Enumeration Date:2006-09-26
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CACFO 01896171W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171W00000XOther Service ProvidersContractor