Provider Demographics
NPI:1295497253
Name:LANSKY, MADELEINE ELISE (MD)
Entity type:Individual
Prefix:DR
First Name:MADELEINE
Middle Name:ELISE
Last Name:LANSKY
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:350 PARNASSUS AVE STE 601
Mailing Address - Street 2:
Mailing Address - City:SAN FRANCISCO
Mailing Address - State:CA
Mailing Address - Zip Code:94117-3626
Mailing Address - Country:US
Mailing Address - Phone:415-820-3242
Mailing Address - Fax:
Practice Address - Street 1:350 PARNASSUS AVE STE 601
Practice Address - Street 2:
Practice Address - City:SAN FRANCISCO
Practice Address - State:CA
Practice Address - Zip Code:94117-3626
Practice Address - Country:US
Practice Address - Phone:415-820-3242
Practice Address - Fax:331-204-1376
Is Sole Proprietor?:Yes
Enumeration Date:2021-10-07
Last Update Date:2021-10-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAA0704202084P0800X, 2084P0804X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2084P0804XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyChild & Adolescent PsychiatryGroup - Multi-Specialty
No2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry