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Individual

DR. PHILLIP LEONARD LANEY

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
930 FRANKLIN ST SE, HUNTSVILLE, AL 35801-4312
(256) 539-4080
(256) 539-4099
Mailing address
930 FRANKLIN ST SE, HUNTSVILLE, AL 35801-4312
(256) 539-4080
(256) 539-4099

Taxonomy

Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
13405
AL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
000033798
AL
01
0173786
BCBS
TN
01
060037258
RAILROAD MEDICARE
05
112219
AL
05
112223
AL
05
112225
AL
05
112229
AL
05
112233
AL
05
112239
AL
01
25-10262
UNITED HEALTHCARE
01
4279644
AETNA
01
510-49264
BCBS
AL
01
510-49265
BCBS
AL
01
510-49266
BCBS
AL
01
51033798
BCBS
AL
01
515-98652
BCBS
AL
01
515-98653
BCBS
AL
01
515-98654
BCBS
AL
01
P00765573
RAILROAD MEDICARE
AL
Enumeration date
01/25/2006
Last updated
12/11/2009
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