Individual
DR. LANNY L DUNHAM JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
10240 PARK MEADOWS DR, LONE TREE, CO 80124-5425
(303) 338-4545
Mailing address
10350 E DAKOTA AVE, DENVER, CO 80247-1314
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
52383
CO
390200000X
Student in an Organized Health Care Education/Training Program
TL2877
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
023163
KAISER COMMERCIAL NUMBER
CO
05
—
56721579
—
CO
Enumeration date
10/10/2008
Last updated
06/16/2021
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