Individual
MADISON LANNOM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1825 WOODWINDS DR, WOODBURY, MN 55125-2202
(651) 232-6700
Mailing address
1700 UNIVERSITY AVE W, SAINT PAUL, MN 55104-3727
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
81532
MN
207R00000X
Internal Medicine Physician
MD-53683
IA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
04/07/2021
Last updated
04/14/2026
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