Individual
DR. BROCK JUSTIN LANIER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2661 VISTA ORNADA, NEWPORT BEACH, CA 92660-3555
(202) 664-3553
Mailing address
2661 VISTA ORNADA, NEWPORT BEACH, CA 92660-3555
(202) 664-3553
Taxonomy
Speciality
Code
Description
License number
State
208200000X
Plastic Surgery Physician
Primary
A130654
CA
Other
Enumeration date
05/22/2007
Last updated
11/14/2024
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