Individual
DR. DONALD JEROME LANAHAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
824 NE A ST, GRANTS PASS, OR 97526-2212
(541) 476-4583
(541) 479-1515
Mailing address
824 NE A ST, GRANTS PASS, OR 97526-2212
(541) 476-4583
(541) 479-1515
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
D6804
OR
Other
Enumeration date
08/29/2006
Last updated
07/08/2007
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