Individual
LANA BLACK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
4760 FASHION SQUARE BLVD STE L-1, SAGINAW, MI 48604-2620
(989) 282-4003
(888) 491-7220
Mailing address
801 ROSEHILL RD, JACKSON, MI 49202-1762
(517) 212-2008
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
4704171858
MI
Other
Enumeration date
03/23/2017
Last updated
10/02/2025
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