LANA - SECREST , LMSW in WICHITA - NPI - 1598750630
LANA SECREST is a dentist based out of WICHITA,Kansas LANA practices in WICHITA,Kansas and has the professional credentials of LMSW .The NPI Number for LANA SECREST is 1598750630 and he holds a Licence No. 4804(Kansas).
LANA current practice location address is 345 RIVERVIEW ST,SUITE LL2,WICHITA,Kansas and he can be reached out via phone at 3162625253 and via fax at3162627202. You can also correspond with LANA SECREST through mail at his mailing address at345 RIVERVIEW ST,SUITE LL2,WICHITA,Kansas – 672034200 (mailing address contact number – 672034200).
Provider Profile Details
| NPI Number | 1598750630 |
| Provider Name | LANA SECREST |
| LMSW | |
| Gender | 39271 |
| Provider Entity Type | Individual |
| Provider Enumeration Date | 104100000X |
| Last Update Date | 38609 |
Provider Business Mailing Address Details
| Address | 345 RIVERVIEW ST,SUITE LL2 |
| City | WICHITA |
| State | Kansas |
| Zip | 672034200 |
| Phone Number | 3162625253 |
Provider Business Practice Location Address Details
| Address | 345 RIVERVIEW ST,SUITE LL2 |
| City | WICHITA |
| State | Kansas |
| Zip | 672034200 |
| Phone Number | 3162625253 |
Provider's Primary Taxonomy Details
| Taxonomy | 104100000X |
| License No. | 4804 |
| State | Kansas |