Individual
JOHN E LANIER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA
Contact information
Practice address
2075 PLEASANT PLAINS EXT RD, JACKSON, TN 38305-6087
(731) 984-8400
Mailing address
PO BOX 12197, JACKSON, TN 38308-0136
(731) 984-8400
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
2357
TN
Other
Enumeration date
07/08/2013
Last updated
07/17/2013
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