Individual
LANA D SCHMIDT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
300 N MAPLE ST, EFFINGHAM, IL 62401-2003
(217) 342-4151
Mailing address
PO BOX 19248, SPRINGFIELD, IL 62794-9248
(217) 528-7541
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
036099940
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
036099940
—
IL
Enumeration date
07/04/2006
Last updated
05/20/2020
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