Advanced Eye Care MD PC
Ophthalmology in Southfield, MI. Organization (NPI-2).
NPI number1164599437
StatusActive
Last updated in NPPESSep 11, 2012
Details
- NPI
- 1164599437
- Entity type
- Organization (NPI-2)
- Legal business name
- Advanced Eye Care MD PC
- Organization subpart
- No
- Enumeration date
- Nov 29, 2006
- Last updated
- Sep 11, 2012
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207W00000X | Ophthalmology | lg077362 | MI | Yes |
Other names
- Dr. Lanny Green M.D (Other Name)
Practice location
23077 Greenfield Suite 144Southfield, MI 48075-3738
Phone 248-569-6120
Mailing address
23077 Greenfield Suite 144Southfield, MI 48075-3738
Phone 248-569-6120
Authorized official
Lanny Green
Owner
2485696120
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