Individual
GRAINGER S LANNEAU JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1130 S. HICKORY STREET SUITE B, MELBOURNE, FL 32901-5417
(321) 725-0944
(321) 434-7590
Mailing address
3300 S FISKE BLVD, ROCKLEDGE, FL 32955-4306
Taxonomy
Speciality
Code
Description
License number
State
207VX0201X
Gynecologic Oncology Physician
Primary
ME135402
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
024274900
—
FL
01
—
JH796Z
MEDICARE
FL
Enumeration date
10/06/2006
Last updated
02/10/2020
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us