IndividualActive
Laney Fanning, COTA
NPI 1841123189 · Geriatric Medicine (Family Medicine) Physician · Spearfish, SD
Provider details
- NPI number
- 1841123189
- Entity type
- Individual
- Primary specialty
- Geriatric Medicine (Family Medicine) PhysicianAllopathic & Osteopathic Physicians
- Credential
- COTA
- Sex
- Female
- Sole proprietor
- No
- License
- NA (SD)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Practice location
1020 N 10th St
Spearfish, SD 57783-2203
Phone: (605) 642-2716
Approximate (ZIP-level) locationGet directions
Mailing address
28501 Sd Highway 73
Martin, SD 57551-5609
Registry dates
- Enumerated
- 2026-06-05
- Last updated
- 2026-06-05
- Certified
- 2026-06-05
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.