Gore, Lanny R
Gore, Lanny R is an individual health care provider with primary practice located at 2125 State St Suite 3, New Albany IN 47150. He recently has only one registered license in Allopathic & Osteopathic Physicians / Surgery, which is considered as his primary health care specialty. Gore, Lanny R can be contacted via phone (812) 542-1203.Contact Information
Primary practice address
2125 State St Suite 3
New Albany IN 47150
Phone: (812) 542-1203
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Surgery | 208600000X | 51638 | Kentucky |
| Allopathic & Osteopathic Physicians / Surgery | 208600000X | 01062140 | Indiana |
Profile Details
| NPI number | 1194886689 |
|---|---|
| LBN Legal business name | Gore, Lanny R |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Dec 12th, 2006 |
| Last updated | Jun 25th, 2018 - about 7 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1194886689 | NPPES |
| Indiana | MEDICAID | 200850230 |
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