Individual
MELISSA LANNERY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
R.D.H.
Contact information
Practice address
330 VERMONT ST, QUINCY, IL 62301-2700
(217) 222-8440
Mailing address
330 VERMONT ST, QUINCY, IL 62301-2700
Taxonomy
Speciality
Code
Description
License number
State
124Q00000X
Dental Hygienist
Primary
020-007535
IL
Other
Enumeration date
07/19/2022
Last updated
07/19/2022
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