Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 2084N0400X | Neurologist | 2008013242 | MO |
N | 2084N0400X | Neurologist | 4301087558 | MI |
N | 2084N0402X | Child Neurologist | 4301087558 | MI |
N | 2084N0600X | Clinical Neurophysiologist | 4301087558 | MI |
NPI | 1114044237 |
---|---|
Provider Name | Dr. Sean Edward Lanigar |
First Address | Kansas City, MO 64184-3966 |
Second Address | Columbia, MO 65212-0001 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 23/03/2007 |
Last Update Date | 01/03/2018 |