Razdolsky, Laniel
Razdolsky, Laniel is an individual health care provider with primary practice located at 133 E Laurel Ave , Lake Forest IL 60045-1326. He recently has only one registered license in Dental Providers / Dentist, which is considered as his primary health care specialty. Razdolsky, Laniel can be contacted via phone (847) 234-6440.Contact Information
Primary practice address
133 E Laurel Ave
Lake Forest IL 60045-1326
Phone: (847) 234-6440
Fax:
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Dental Providers / Dentist | 122300000X | 019029812 | Illinois |
Profile Details
NPI number | 1598179483 |
---|---|
LBN Legal business name | Razdolsky, Laniel |
Credentials | |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Jun 18th, 2014 |
Last updated | Oct 26th, 2015 - about 9 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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