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Individual

DR. ANDREA B. LANIER

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
M.D.

Contact information

Practice address
1360 E HERNDON AVE, SUITE 401, FRESNO, CA 93720-3326
(559) 449-5010
(559) 449-5014
Mailing address
1360 E HERNDON AVE, SUITE 401, FRESNO, CA 93720-3326
(559) 449-5010
(559) 449-5014

Taxonomy

Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
G51172
CA
207WX0200X
Ophthalmic Plastic and Reconstructive Surgery Physician
G51172
CA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
00G511720
CA
05
CGP077165
CA
05
GR0078920
CA
05
GR0078921
CA
05
GR0078922
CA
05
GR0078923
CA
05
GR0078924
CA
Enumeration date
04/03/2006
Last updated
03/23/2017
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