Lanny Odin is a Specialist in Taylorville, Illinois. Lanny Odin practices all healthcare services and medical treatments related to Specialist. The NPI Number for Lanny Odin is 1457309130. The last update date is 2020-06-18.
Lanny Odin's current location address is 500 N Cheney St, Taylorville, Illinois. You can contact this provider via phone number 2177772020 and fax number 2177772023. The mailing address for Lanny Odin is 500 N Cheney St, Taylorville, Illinois. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Lanny Odin |
|---|---|
| Address | 500 N Cheney St, Taylorville, Illinois |
| Phone Number | 2177772020 |
| Fax Number | 2177772023 |
| Sole Proprietor | N |
| Credentials | MD |
NPI Number Detail
| NPI Number | 1457309130 |
|---|---|
| Provider Enumeration Date | 2006-05-04 |
| Last Updated Date | 2020-06-18 |
Provider Mailing Address Detail
| Address | 500 N Cheney St |
|---|---|
| City | Taylorville |
| State | Illinois (IL) |
| Post Code | 625681139 |
| Phone Number | 2177772020 |
| Fax Number | 2177772023 |
Provider's Primary Taxonomy Detail
| Speciality | Specialist |
|---|---|
| Taxonomy | 174400000X |
|
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. |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 180031357 | IL | RAILROAD MEDICARE |
Post Comment/ Review Below
What is the unique provider identifier assigned to Lanny Odin?
The Lanny Odin has been issued the NPI (National Provider Identifier) 1457309130 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.
Could you provide the complete address where Lanny Odin is physically located?
The Lanny Odin is situated at the following address: 500 N Cheney St, Taylorville, IL 625681139.
What is the Lanny Odin's area of specialization and corresponding taxonomy classification?
The Lanny Odin's specialty field is Specialist, and it falls under the taxonomy code 174400000X, which categorizes healthcare providers based on their specialties.
On what date did the Centers for Medicare & Medicaid Services issue the 1457309130 to Lanny Odin?
The Lanny Odin received its 1457309130 assignment from the Centers for Medicare & Medicaid Services on 2006-05-04.
As of what date was the information pertaining to Lanny Odin, such as address, specialty, and other details, last reviewed and confirmed to be accurate?
The information related to Lanny Odin, including its address, specialty, and other relevant details, was last reviewed and confirmed to be accurate on 2020-06-18.
NPI Number: 1912900614
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