South, Lanny R.
South, Lanny R. is an sole proprietor health care provider with primary practice located at 21120 Washington Pkwy , Frankfort IL 60423-3112. He recently has only one registered license in Allopathic & Osteopathic Physicians / Anesthesiology, which is considered as his primary health care specialty. South, Lanny R. can be contacted via phone (815) 469-9750.Contact Information
Primary practice address
21120 Washington Pkwy
Frankfort IL 60423-3112
Phone: (815) 469-9750
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Anesthesiology | 207L00000X | OS7770 | Florida |
| Allopathic & Osteopathic Physicians / Anesthesiology | 207L00000X | 34.006388 | Ohio |
| Allopathic & Osteopathic Physicians / Anesthesiology | 207L00000X | 036.131960 | Illinois |
Profile Details
| NPI number | 1215996582 |
|---|---|
| LBN Legal business name | South, Lanny R. |
| Credentials | Doctor of Osteopathy (DO) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Mar 23rd, 2006 |
| Last updated | Oct 14th, 2020 - about 4 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 | 1215996582 | NPPES |
| Florida | MEDICAID | 255138100 |
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