Individual
MR. LANNY LEE MONROE JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
105 YADKIN ST, SUITE 303, ALBEMARLE, NC 28001-3449
(704) 982-2683
(704) 512-4838
Mailing address
PO BOX 601888, CHARLOTTE, NC 28260-1888
(704) 982-2683
(704) 512-4838
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
2006-00501
NC
208000000X
Pediatrics Physician
Primary
200600501
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00539702
—
MS
05
—
1033156245
—
NC
05
—
5904693
—
NC
Enumeration date
05/31/2006
Last updated
11/11/2015
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