Individual
CAROLYN ROBIN LANAM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
1601 CUMMINS DR STE D, MODESTO, CA 95358-6411
(510) 851-7589
Mailing address
2150 PENNSYLVANIA AVE NW, WASHINGTON, DC 20037-3201
(202) 741-3000
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
2749
MN
207P00000X
Emergency Medicine Physician
320644
NY
207P00000X
Emergency Medicine Physician
Primary
A167875
CA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
04/09/2016
Last updated
01/30/2023
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