Doctor Name: | DAVID E LANNIK |
NPI Number: | 1700888963 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | MD |
License Number: | 0101035498 |
Business Practice Address: | 5818 D Harbour View Blvd Suite 150 Suffolk, VA - 234353327 |
Business Phone Number: | 7572151400 |
Business Fax Number: | 7572151403 |
Mailing Address: | 5818 D Harbour View Blvd, Suite 150 SUFFOLK |
State: | VA |
Postal Code: | 234353327 |
Phone Number: | 7572151400 |
Fax Number: | 7572151403 |
NPI Enumeration Date: | 06/01/2005 |
NPI Last Update Date: | 08/25/2011 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 174400000X |
License Number: | 0101035498 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | VA |
Taxonomy Type: | Other Service Providers |
Taxonomy Classification: | Specialist |
Taxonomy Specialization: | |
Taxonomy Definition: | An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |