Organization
FAMILY MEDICAL CLINIC, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ANTHONY R LANIER DO (PRESIDENT)
(330) 652-1759
Entity
Organization
Contact information
Practice address
1150 NILES CORTLAND RD, NILES, OH 44446
(330) 652-1759
(330) 652-2719
Mailing address
1150 NILES CORTLAND RD, NILES, OH 44446
(330) 652-1759
(330) 652-2719
Taxonomy
Speciality
Code
Description
License number
State
261QP2300X
Primary Care Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0641872
—
OH
Enumeration date
11/11/2005
Last updated
12/16/2010
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