Organization
DR SAMUEL K LANEY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SAMUEL K LANEY II MD (OWNER)
(970) 495-0300
Entity
Organization
Contact information
Practice address
4401 UNION ST, LOVELAND, CO 80537-2800
(970) 619-3400
Mailing address
1175 58TH AVE, STE 202, GREELEY, CO 80634-4807
(970) 495-0300
(970) 224-9624
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
44994
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
10603719
—
CO
01
—
LA801107
BCBS
CO
01
—
P00382506
RAILROAD MEDICARE
—
Enumeration date
10/12/2006
Last updated
03/04/2008
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