Individual
FRED HAGEN LANINGHAM III
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
725 WELCH RD, PALO ALTO, CA 94304-1601
(650) 497-8000
Mailing address
725 WELCH RD, PALO ALTO, CA 94304-1601
(650) 497-8000
Taxonomy
Speciality
Code
Description
License number
State
2085P0229X
Pediatric Radiology Physician
29598
TN
2085P0229X
Pediatric Radiology Physician
Primary
G75723
CA
2085R0202X
Diagnostic Radiology Physician
29598
TN
2085R0202X
Diagnostic Radiology Physician
G75723
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00124209
—
MS
05
—
0030911
—
NJ
05
—
0089692
—
MT
05
—
009975820
—
AL
05
—
00G75723
—
CA
05
—
0547182
—
IA
05
—
100249677-00
—
NE
05
—
104677750
—
MI
05
—
1110990
—
LA
05
—
143636001
—
AR
05
—
200347310A
—
KS
05
—
200354520A
—
IN
05
—
205329717
—
MO
05
—
218597956A
—
GA
05
—
3863255
—
TN
05
—
422400000
—
ME
05
—
64044696
—
KY
05
—
7613057
—
NC
Enumeration date
05/24/2005
Last updated
01/24/2025
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