Individual
JEREMIAH W LANFORD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1501 NE MEDICAL CENTER DR, BEND, OR 97701-6051
(541) 382-4900
Mailing address
1501 NE MEDICAL CENTER DR, BEND, OR 97701-6051
(541) 382-4900
Taxonomy
Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
M5808
TX
2084N0400X
Neurology Physician
Primary
MD185769
OR
2084N0600X
Clinical Neurophysiology Physician
M5808
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
MD185769
STATE LICENSE
OR
Enumeration date
04/02/2007
Last updated
03/08/2025
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