LANEY WELLNESS CENTER NPI 1538414438

NPI Information

LANEY WELLNESS CENTER is an adolescent medicine family medicine in Wilmington, NC. The provider is a family medicine physician with multidisciplinary training in the unique physical, psychological and social characteristics of adolescents and their health care problems and needs. LANEY WELLNESS CENTER NPI is 1538414438. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

4005 OLEANDER DR
WILMINGTON, NC
ZIP 28403-816
Phone: (910) 790-9949
Fax: (910) 790-9455

The provider's authorized official is Maria Van De Bovenkamp .
The authorized official title is Director Of Administration and has the following contact phone number (910) 790-9949.

The enumeration date for this NPI number is 7/17/2012 and was last updated on 7/17/2012.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

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