Individual
DR. JOSEPH ANTHONY LANNI
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1340 BROAD AVE, SUITE 440, GULFPORT, MS 39501-2418
(228) 867-4700
(228) 867-4870
Mailing address
13 BAYOU VIEW DR, GULFPORT, MS 39507-4010
(603) 303-3553
(228) 867-4870
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
18765
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02286384
—
MS
Enumeration date
02/06/2006
Last updated
07/08/2007
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