LANEY WELLNESS CENTER NPI 1538414438

NPI Information

  • NPI: 1538414438
  • Provider Name: LANEY WELLNESS CENTER
  • Classification: Family Medicine - 207QA0000X
  • Specialization: Adolescent Medicine
  • Entity Type: Organization
  • Address: 4005 OLEANDER DR
    WILMINGTON, NC
    ZIP 28403
  • Phone: (910) 790-9949

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NPI Details

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:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1207QA0000XFamily MedicineAdolescent MedicineYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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