Individual
MR. MICHAEL RICHARD LANAGHAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PT
Contact information
Practice address
1705 SOUTH 1ST AVE, SUITE C, IOWA CITY, IA 52240-6037
(319) 337-8818
(319) 337-8308
Mailing address
850 43RD AVE STE 100, MOLINE, IL 61265-8401
(309) 743-2070
(309) 743-2073
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
01519
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0278952
—
IA
01
—
31275
WELLMARK
—
Enumeration date
08/04/2006
Last updated
10/10/2018
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