Individual
LOCEEAN LANEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
2120 N 27TH ST, DECATUR, IL 62526-2191
(217) 876-4041
(217) 423-6486
Mailing address
2300 N EDWARD ST, GSBLL, DECATUR, IL 62526-4163
(217) 876-2872
(217) 876-2874
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
—
IL
Other
Enumeration date
02/15/2007
Last updated
07/08/2007
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