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Individual
DR. JEFFREY C LANEY
Active
Individual
DR. JEFFREY C LANEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
D1691
ID
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1009472
REGENCE BLUE SHIELD OF ID
ID
01
—
134932
TRI-CARE
ID
01
—
60764
BLUE CROSS OF ID-MER
ID
01
—
6D287
BLUE CROSS OF ID-MIDD
ID
01
—
D1961
DELTA DENTAL OF ID
ID
Enumeration date
08/01/2006
Last updated
07/09/2007
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