Individual
AMANDA RUCKER LANIER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
2900 CAHABA RD, MOUNTAIN BRK, AL 35223-1937
(205) 877-9773
(205) 877-9775
Mailing address
801 YORK ST, MANITOWOC, WI 54220-4630
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA.1351
AL
Other
Enumeration date
10/05/2015
Last updated
04/04/2025
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