Individual
DR. DEREK LANIER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD MPH
Contact information
Practice address
8450 BROWER LAKE RD NE, APT/SUITE, ROCKFORD, MI 49341-9346
(616) 874-1577
(616) 874-1577
Mailing address
366 W 8TH ST APT 52, SAN PEDRO, CA 90731-3730
(248) 842-4421
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
4301057270
MI
Other
Enumeration date
12/04/2007
Last updated
12/15/2014
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