Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 208200000X | Surgeon | 0101056197 | VA |
N | 208600000X | Surgeon | 0101056197 | VA |
Y | 2086S0120X | Pediatric Surgery | 0101056197 | VA |
NPI | 1275524977 |
---|---|
Provider Name | Mr. David A Lanning |
First Address | Richmond, VA 23225-4017 |
Second Address | Richmond, VA 23225-4017 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 02/11/2005 |
Last Update Date | 28/08/2007 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
010104441 | (05) | VA |