Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207X00000X | Orthopaedic Surgeon | 202771 | NY |
Y | 207XS0106X | Orthopaedic Hand Surgeon | 202771 | NY |
NPI | 1134101736 |
---|---|
Provider Name | Kevin W Lanighan |
First Address | East Amherst, NY 14051-2610 |
Second Address | East Amherst, NY 14051-2610 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 18/11/2005 |
Last Update Date | 16/07/2013 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
E45590 | (02) | NY |