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Individual

DR. LONNY JOHN LANNERT

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
D.C.

Contact information

Practice address
1302 W GARFIELD AVE, BARTONVILLE, IL 61607-3705
(309) 697-8604
(309) 697-9298
Mailing address
1302 W GARFIELD AVE, BARTONVILLE, IL 61607-3705
(309) 697-8604
(309) 697-9298

Taxonomy

Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
IL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
038136
HEALTH ALLIANCE
IL
01
07208137
BC / BS OF IL
IL
01
336665
HEATHLINK
IL
Enumeration date
08/09/2005
Last updated
02/12/2008
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