Organization
ADVANCED EYE CARE MD PC
Active
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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