Doctor Name: | AARON JOSEPH LANNING |
NPI Number: | 1063831469 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | N.P. |
License Number: | 4704269216 |
Business Practice Address: | 1711 S Stephenson Ave Ste 320 Iron Mountain, MI - 498013639 |
Business Phone Number: | 9067741313 |
Business Fax Number: | 9062280213 |
Mailing Address: | 200 W Hughitt St, IRON MOUNTAIN |
State: | MI |
Postal Code: | 498012834 |
Phone Number: | 7346797196 |
Fax Number: | |
NPI Enumeration Date: | 04/14/2014 |
NPI Last Update Date: | 04/02/2016 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 363LF0000X |
License Number: | 4704269216 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | MI |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Nurse Practitioner |
Taxonomy Specialization: | Family |
Taxonomy Definition: |