JACKSON R LANPHEAR

VISIONARY MEDICAL SERVICES, PC

Dr JACKSON R LANPHEAR is a male medical professional, specializing in Emergency Medicine. He graduated in 2007 from Wayne State University School Of Medicine.

Contact

VISIONARY MEDICAL SERVICES, PC

100 MICHIGAN NE
GRAND RAPIDS
MI
495032560

Tel: 6163911680

JACKSON R LANPHEAR Information

Npi 1326230186
Pac Id 5496935611
Professional Enrollment Id I20110204000746
Last Name LANPHEAR
First Name JACKSON
Middle Name R
Suffix
Gender M
Credential
Medical School Name WAYNE STATE UNIVERSITY SCHOOL OF MEDICINE
Graduation Year 2007
Primary Specialty EMERGENCY MEDICINE
Secondary Specialty 1
Secondary Specialty 2
Secondary Specialty 3
Secondary Specialty 4
All Secondary Specialties
Organization Legal Name VISIONARY MEDICAL SERVICES, PC
Group Practice Pac Id 1951404185
Number Of Group Practice Members 34
Line 1 Street Address 100 MICHIGAN NE
Line 2 Street Address
Marker Of Address Line 2 Suppression
City GRAND RAPIDS
State MI
Zip Code 495032560
Phone Number 6163911680
Hospital Affiliation Ccn 1 231323
Hospital Affiliation Lbn 1 SPECTRUM HEALTH REED CITY HOSPITAL
Hospital Affiliation Ccn 2 230038
Hospital Affiliation Lbn 2 SPECTRUM HEALTH-BUTTERWORTH CAMPUS
Hospital Affiliation Ccn 3
Hospital Affiliation Lbn 3
Hospital Affiliation Ccn 4
Hospital Affiliation Lbn 4
Hospital Affiliation Ccn 5
Hospital Affiliation Lbn 5
Professional Accepts Medicare Assignment Y

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