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1972557858
LANNY GREEN
SOUTHFIELD, MI
NPI
1972557858
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
207W00000X Ophthalmology
(Licence: MI 4301077362)
Enumeration Date
2006-05-22
Last Update Date
2007-07-09
Business Address
Dr. LANNY GREEN M.D.
23077 GREENFIELD RD 144
SOUTHFIELD, MI 48075-3709
Phone number: 248-569-6120
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Mailing Address
Dr. LANNY GREEN M.D.
23077 GREENFIELD RD 144
SOUTHFIELD, MI 48075-3709
Phone number: 248-569-6120
Copy
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