Organization
PK NEUROLOGY PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. PAUL LANIER DO (PRINCIPAL)
(801) 471-7340
Entity
Organization
Contact information
Practice address
455 N MESA DR STE 5, MESA, AZ 85201-5936
(480) 813-2906
Mailing address
5738 E STAR VALLEY ST, MESA, AZ 85215-9664
(801) 471-7340
Taxonomy
Speciality
Code
Description
License number
State
103TA0700X
Adult Development & Aging Psychologist
—
—
103TM1800X
Intellectual & Developmental Disabilities Psychologist
—
—
208D00000X
General Practice Physician
Primary
—
—
225100000X
Physical Therapist
—
—
225XN1300X
Neurorehabilitation Occupational Therapist
—
—
Other
Enumeration date
04/29/2026
Last updated
04/29/2026
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