Provider Demographics
NPI:1871614339
Name:WHEELER, LANI SMITH MAJER (MD)
Entity type:Individual
Prefix:DR
First Name:LANI
Middle Name:SMITH MAJER
Last Name:WHEELER
Suffix:
Gender:F
Credentials:MD
Other - Prefix:DR
Other - First Name:LANI
Other - Middle Name:SMITH
Other - Last Name:MAJER
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MD
Mailing Address - Street 1:163 CRANES CROOK LN
Mailing Address - Street 2:
Mailing Address - City:ANNAPOLIS
Mailing Address - State:MD
Mailing Address - Zip Code:21401-7267
Mailing Address - Country:US
Mailing Address - Phone:410-573-1136
Mailing Address - Fax:410-222-4067
Practice Address - Street 1:3 HARRY S TRUMAN PKWY
Practice Address - Street 2:
Practice Address - City:ANNAPOLIS
Practice Address - State:MD
Practice Address - Zip Code:21401-7031
Practice Address - Country:US
Practice Address - Phone:410-222-4133
Practice Address - Fax:410-222-4067
Is Sole Proprietor?:Yes
Enumeration Date:2007-04-03
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDAM82866102080P0006X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2080P0006XAllopathic & Osteopathic PhysiciansPediatricsDevelopmental - Behavioral Pediatrics