Individual
STUART KENT LANKFORD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
1350 CEDAR CT, CARBONDALE, IL 62901-5336
(618) 529-2955
(618) 457-7823
Mailing address
1350 CEDAR CT, CARBONDALE, IL 62901-5336
(618) 529-2955
(618) 457-7823
Taxonomy
Speciality
Code
Description
License number
State
207RN0300X
Nephrology Physician
085.006142
IL
363AM0700X
Medical Physician Assistant
Primary
085006142
IL
Other
Enumeration date
07/09/2017
Last updated
07/21/2022
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