Individual
KRIS LANHAM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
X
Contact information
Practice address
221 NE GLEN OAK AVE, PEORIA, IL 61636-1000
(309) 672-5522
Mailing address
1 ILLINI DR, PEORIA, IL 61605-2576
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
IL
Other
Enumeration date
04/17/2026
Last updated
04/17/2026
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