Individual
MEGAN MARIE LANIE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DMD
Contact information
Practice address
15215 S 48TH ST STE 113, PHOENIX, AZ 85044-9137
(480) 961-3330
Mailing address
15215 S 48TH ST STE 113, PHOENIX, AZ 85044-9137
(480) 961-3330
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
019032230
IL
1223G0001X
General Practice Dentistry
Primary
D010757
AZ
Other
Enumeration date
07/05/2019
Last updated
07/25/2023
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