Individual
DR. SAMUEL KEITH LANEY II
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
300 ROCKEFELLER DR, MUSKOGEE, OK 74401-5075
(918) 502-1900
(918) 494-6303
Mailing address
6600 S YALE AVE STE 1400, TULSA, OK 74136-3331
(918) 499-4855
(918) 488-6098
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
01083262
IN
208100000X
Physical Medicine & Rehabilitation Physician
036163297
IL
208100000X
Physical Medicine & Rehabilitation Physician
Primary
35567
OK
208100000X
Physical Medicine & Rehabilitation Physician
44994
CO
208100000X
Physical Medicine & Rehabilitation Physician
57430
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
10603719
—
CO
05
—
123552400
—
WY
01
—
LA801107
ANTHEM BCBS
CO
01
—
P00382506
RAILROAD MEDICARE
—
Enumeration date
09/20/2006
Last updated
02/07/2025
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