Green, Lanny
Green, Lanny is an individual health care provider with primary practice located at 23077 Greenfield Rd 144, Southfield MI 48075-3709. He recently has only one registered license in Allopathic & Osteopathic Physicians / Ophthalmology, which is considered as his primary health care specialty. Green, Lanny can be contacted via phone (248) 569-6120.Contact Information
Primary practice address
23077 Greenfield Rd 144
Southfield MI 48075-3709
Phone: (248) 569-6120
Fax: (248) 569-6134
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Ophthalmology | 207W00000X | 4301077362 | Michigan |
Profile Details
| NPI number | 1972557858 |
|---|---|
| LBN Legal business name | Green, Lanny |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | May 22nd, 2006 |
| Last updated | Jul 9th, 2007 - about 17 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 | 1972557858 | NPPES |
| Michigan | MEDICAID | 4289294 |
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