SearchIllinois122300000X

Kelly Lanning, DMD

NPI 1396996823 · on the registry since 2008 · sole proprietor

Practice

Address
3001 A 6th St Bhc 237
Naval Hospital Great Lakes- Dental Dept.
Great Lakes, IL 60088
Phone
(847) 688-3331
Fax
(847) 688-6259

Registry record

Primary taxonomy
122300000X
122300000X
Licence states on file
IL
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2008-10-02

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Illinois