Individual
DR. LANNY ODIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
500 N CHENEY ST, TAYLORVILLE, IL 62568-1139
(217) 777-2020
(217) 777-2023
Mailing address
500 N CHENEY ST, TAYLORVILLE, IL 62568-1139
(217) 777-2020
(217) 777-2023
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
—
IL
207W00000X
Ophthalmology Physician
Primary
036077639
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
180031357
RAILROAD MEDICARE
IL
Enumeration date
05/04/2006
Last updated
06/18/2020
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