South, Lanny R.

South, Lanny R. is an sole proprietor health care provider with primary practice located at 21120 Washington Pkwy , Frankfort IL 60423-3112. He recently has only one registered license in Allopathic & Osteopathic Physicians / Anesthesiology, which is considered as his primary health care specialty. South, Lanny R. can be contacted via phone (815) 469-9750.

Contact Information

Primary practice address
21120 Washington Pkwy Frankfort IL 60423-3112
Phone: (815) 469-9750
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Anesthesiology 207L00000X OS7770 Florida
Allopathic & Osteopathic Physicians / Anesthesiology 207L00000X 34.006388 Ohio
Allopathic & Osteopathic Physicians / Anesthesiology 207L00000X 036.131960 Illinois

Profile Details

NPI number 1215996582
LBN Legal business name South, Lanny R.
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Mar 23rd, 2006
Last updated Oct 14th, 2020 - about 6 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1215996582 NPPES
Florida MEDICAID 255138100

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