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Organization

ADVANCED EYE CARE MD PC

Active
Other names
Dr. Lanny Green M.D
Organization subpart
No

Provider details

NPI number
Authorized official
DR. LANNY GREEN M.D (OWNER)
(248) 569-6120
Entity
Organization

Contact information

Practice address
23077 GREENFIELD SUITE 144, SOUTHFIELD, MI 48075-3738
(248) 569-6120
Mailing address
23077 GREENFIELD SUITE 144, SOUTHFIELD, MI 48075-3738
(248) 569-6120

Taxonomy

Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
LG077362
MI

Other

Enumeration date
11/29/2006
Last updated
09/11/2012
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