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1922067743
LANNY ROSS BRENT
SPRINGFIELD, MO
NPI
1922067743
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
2085R0202X Radiology, Diagnostic Radiology
(Licence: MO R4579)
Enumeration Date
2006-03-21
Last Update Date
2009-09-04
Business Address
-- LANNY ROSS BRENT M.D.
3801 S NATIONAL AVE
SPRINGFIELD, MO 65807-5210
Phone number: 417-269-4056
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Mailing Address
-- LANNY ROSS BRENT M.D.
1550 E REPUBLIC RD
SPRINGFIELD, MO 65804-6530
Phone number: 417-889-6102
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