Individual
EDWARD WILLIAM LANNON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PHD
Contact information
Practice address
300 PASTEUR DR, STANFORD, CA 94305-2200
(650) 723-4000
Mailing address
300 PASTEUR DR, STANFORD, CA 94305-2200
(650) 723-4000
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
34319
CA
2084P2900X
Pain Medicine (Psychiatry & Neurology) Physician
Primary
34319
CA
Other
Enumeration date
09/15/2023
Last updated
04/11/2024
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