Individual
LANNY E STILES
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
927 BROADWAY ST STE 331, QUINCY, IL 62301-2721
(217) 224-4453
(217) 224-9383
Mailing address
927 BROADWAY ST STE 331, QUINCY, IL 62301-2721
(217) 224-4453
(217) 224-9383
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
036-105941
IL
2084P0804X
Child & Adolescent Psychiatry Physician
Primary
036-105941
IL
Other
Enumeration date
10/04/2006
Last updated
10/09/2018
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