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Individual

KENNETH R LANDER

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
30 MEDICAL CENTER BLVD, SUITE 202, UPLAND, PA 19013-3955
(610) 447-8840
(610) 447-8895
Mailing address
30 MEDICAL CENTER BLVD, SUITE 202, UPLAND, PA 19013-3955
(610) 447-8840
(610) 447-8895

Taxonomy

Speciality
Code
Description
License number
State
207RP1001X
Pulmonary Disease Physician
Primary
MD055520L
PA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
0017760570002
PA
Enumeration date
10/06/2005
Last updated
10/05/2007
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