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Individual
EDWARD WILLIAM LANNON
Active
Individual
EDWARD WILLIAM LANNON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PHD
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
34319
CA
2084P2900X
Pain Medicine (Psychiatry & Neurology) Physician
Primary
34319
CA
Other
Enumeration date
09/15/2023
Last updated
04/11/2024
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