Individual
DR. LANNY R. SOUTH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
21120 WASHINGTON PKWY, FRANKFORT, IL 60423-3112
(815) 469-9750
Mailing address
21120 WASHINGTON PKWY, FRANKFORT, IL 60423-3112
(815) 469-9750
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
036.131960
IL
207L00000X
Anesthesiology Physician
34.006388
OH
207L00000X
Anesthesiology Physician
OS7770
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
255138100
—
FL
Enumeration date
03/23/2006
Last updated
10/14/2020
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