Provider Demographics
NPI:1023099843
Name:POWELL, LANA D (MD)
Entity type:Individual
Prefix:DR
First Name:LANA
Middle Name:D
Last Name:POWELL
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:LANA
Other - Middle Name:D
Other - Last Name:ZABRITSKI
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:51 S WASHINGTON ST
Mailing Address - Street 2:SUITE E
Mailing Address - City:OXFORD
Mailing Address - State:MI
Mailing Address - Zip Code:48371
Mailing Address - Country:US
Mailing Address - Phone:248-236-0840
Mailing Address - Fax:248-236-9586
Practice Address - Street 1:51 S WASHINGTON ST
Practice Address - Street 2:SUITE E
Practice Address - City:OXFORD
Practice Address - State:MI
Practice Address - Zip Code:48371
Practice Address - Country:US
Practice Address - Phone:248-236-0840
Practice Address - Fax:248-236-9586
Is Sole Proprietor?:No
Enumeration Date:2005-11-09
Last Update Date:2008-04-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI4301071987207V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & Gynecology
Provider Identifiers
StateIdentifier IDID TypeIssuer
H66142Medicare UPIN
0P28910002Medicare ID - Type Unspecified