Organization
LEO J. LANNING, DC
Active
Other names
RENEWED HEALTH, PLLC
Organization subpart
No
Provider details
NPI number
Authorized official
DR. LEO JON LANNING DC (OWNER/DOCTOR)
(269) 945-2203
Entity
Organization
Contact information
Practice address
400 W STATE ST, HASTINGS, MI 49058-1640
(269) 945-2203
(269) 945-3236
Mailing address
400 W STATE ST, HASTINGS, MI 49058-1640
(269) 945-2203
(269) 945-3236
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
2301008145
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0N64040
MEDICARE PTAN
MI
Enumeration date
08/03/2010
Last updated
08/03/2010
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