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 |