Organization
LASANTE INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. FRANK L MIKELL MD (CEO)
(217) 523-4747
Entity
Organization
Contact information
Practice address
4936 LAVERNA ROAD, SPRINGFIELD, IL 62707-9797
(217) 523-4747
(217) 523-0542
Mailing address
4936 LAVERNA ROAD, SPRINGFIELD, IL 62707-9797
(217) 523-4747
(217) 523-0542
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
—
—
Other
Enumeration date
10/18/2010
Last updated
10/18/2010
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