Provider Demographics
NPI:1043824238
Name:RINEY, LANETTA LYNN
Entity type:Individual
Prefix:MS
First Name:LANETTA
Middle Name:LYNN
Last Name:RINEY
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5128 HEMINGWAY DR
Mailing Address - Street 2:
Mailing Address - City:DARROW
Mailing Address - State:LA
Mailing Address - Zip Code:70725-2501
Mailing Address - Country:US
Mailing Address - Phone:225-717-1297
Mailing Address - Fax:
Practice Address - Street 1:5128 HEMINGWAY DR
Practice Address - Street 2:
Practice Address - City:DARROW
Practice Address - State:LA
Practice Address - Zip Code:70725-2501
Practice Address - Country:US
Practice Address - Phone:225-717-1297
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2020-09-03
Last Update Date:2020-09-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LA172A00000X, 347C00000X, 347E00000X, 343900000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes343900000XTransportation ServicesNon-emergency Medical Transport (VAN)
No172A00000XOther Service ProvidersDriver
No347C00000XTransportation ServicesPrivate Vehicle
No347E00000XTransportation ServicesTransportation Broker