Individual
LANNEAU D LIDE JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
10233
SC
207RI0011X
Interventional Cardiology Physician
Primary
10233
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
102338
—
SC
Enumeration date
06/23/2006
Last updated
02/24/2016
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