| NPI | 1164599437 |
|---|---|
| Other Name | DR. LANNY GREEN M.D |
| Entity Type | Organization |
| Authorized Contact | LANNY GREEN Owner 248-569-6120 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207W00000X Ophthalmology (Licence: MI lg077362) |
| Enumeration Date | 2006-11-29 |
| Last Update Date | 2012-09-11 |