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Individual

DAVID E LANNIK

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
5818 D HARBOUR VIEW BLVD, SUITE 150, SUFFOLK, VA 23435-3327
(757) 215-1400
(757) 215-1403
Mailing address
5818 D HARBOUR VIEW BLVD, SUITE 150, SUFFOLK, VA 23435-3327
(757) 215-1400
(757) 215-1403

Taxonomy

Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
0101035498
VA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
006445063
VA
Enumeration date
06/01/2005
Last updated
08/25/2011
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