Provider Demographics
NPI:1033920137
Name:LANS ANGELS INC
Entity type:Organization
Organization Name:LANS ANGELS INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:KELECHI
Authorized Official - Middle Name:C
Authorized Official - Last Name:UWAKWE
Authorized Official - Suffix:
Authorized Official - Credentials:DNP, FNP-BC, PMH-BC
Authorized Official - Phone:919-986-7787
Mailing Address - Street 1:405 AVERSBORO RD STE 400
Mailing Address - Street 2:
Mailing Address - City:GARNER
Mailing Address - State:NC
Mailing Address - Zip Code:27529-3869
Mailing Address - Country:US
Mailing Address - Phone:919-986-7787
Mailing Address - Fax:
Practice Address - Street 1:405 AVERSBORO RD STE 400
Practice Address - Street 2:
Practice Address - City:GARNER
Practice Address - State:NC
Practice Address - Zip Code:27529-3869
Practice Address - Country:US
Practice Address - Phone:919-986-7787
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-01-17
Last Update Date:2025-01-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2084B0040XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyBehavioral Neurology & NeuropsychiatryGroup - Multi-Specialty
No207Q00000XAllopathic & Osteopathic PhysiciansFamily MedicineGroup - Multi-Specialty