Organization
DOUGLAS H. LANNING, O.D.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DOUGLAS HOWARD LANNING OD (OWNER)
(707) 443-4581
Entity
Organization
Contact information
Practice address
2437 BUHNE ST, EUREKA, CA 95501-3206
(707) 443-4581
Mailing address
2437 BUHNE ST, EUREKA, CA 95501-3206
(707) 443-4581
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
12163T
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
EH755A
—
CA
05
—
EH7712
—
CA
05
—
GSD005070
—
CA
05
—
SD0065450
—
CA
05
—
SD0121630
—
CA
Enumeration date
10/19/2006
Last updated
03/21/2011
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