Individual
DR. KELLY ROBERT LANNING
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
3001 A 6TH ST BHC 237, NAVAL HOSPITAL GREAT LAKES- DENTAL DEPT., GREAT LAKES, IL 60088
(847) 688-3331
(847) 688-6259
Mailing address
3001 A 6TH ST BHC 237, NAVAL HOSPITAL GREAT LAKES- DENTAL DEPT., GREAT LAKES, IL 60088
(970) 214-9084
(847) 688-6259
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
31
IL
Other
Enumeration date
10/02/2008
Last updated
10/02/2008
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