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:
Map and Directions

Health care specialties

SpecialtyCodeLicense #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 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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