Individual
MIRANDA DAWN LANNING
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
3377 RIVERBEND DR, SPRINGFIELD, OR 97477-8803
(541) 222-8500
(541) 222-6435
Mailing address
3377 RIVERBEND DR, SPRINGFIELD, OR 97477-8803
(541) 222-8500
(541) 222-6435
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
MD181138
OR
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
04/16/2013
Last updated
04/16/2025
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