Individual
DR. TERESA M LANIER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD PHD
Contact information
Practice address
1900 WOODLAND DR, COOS BAY, OR 97420-2099
(541) 267-5151
Mailing address
1900 WOODLAND DR, COOS BAY, OR 97420-2099
(541) 267-5151
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
AZ26887
AZ
207Q00000X
Family Medicine Physician
Primary
MD165194
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
500666243
—
OR
Enumeration date
06/06/2006
Last updated
12/05/2023
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