Lanham, Gary R

Lanham, Gary R is an individual health care provider with primary practice located at 2333 Mccallie Ave , Chattanooga TN 37404-3258. He recently has only one registered license in Allopathic & Osteopathic Physicians / Anatomic Pathology & Clinical Pathology, which is considered as his primary health care specialty. Lanham, Gary R can be contacted via phone (423) 493-1550.

Contact Information

Primary practice address
2333 Mccallie Ave Chattanooga TN 37404-3258
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Anatomic Pathology & Clinical Pathology 207ZP0102X 13385 Tennessee

Profile Details

NPI number 1245206978
LBN Legal business name Lanham, Gary R
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 23rd, 2006
Last updated Jul 21st, 2014 - about 10 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1245206978 NPPES
Tennessee MEDICAID 3047561
Tennessee MEDICAID 3045760
Tennessee Other 220019555
Tennessee MEDICAID 000410583A

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