Doctor Name: | DR. TYLER T LANNING |
NPI Number: | 1386016665 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | D.C. |
License Number: | 4568 |
Business Practice Address: | 4299 Sugarcreek Dr Bellbrook, OH - 453051330 |
Business Phone Number: | 9378288500 |
Business Fax Number: | 9378489500 |
Mailing Address: | 4299 Sugarcreek Dr, BELLBROOK |
State: | OH |
Postal Code: | 453051330 |
Phone Number: | 9378288500 |
Fax Number: | 9378489500 |
NPI Enumeration Date: | 10/26/2015 |
NPI Last Update Date: | 01/22/2016 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 246ZE0600X |
License Number: | 4568 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | OH |
Taxonomy Type: | Technologists, Technicians & Other Technical Service Providers |
Taxonomy Classification: | Specialist/Technologist, Other |
Taxonomy Specialization: | Electroneurodiagnostic |
Taxonomy Definition: |