Jacob Graham Lanter

NPI #1417419714 in Mascoutah, Illinois

Provider Information

NPI Number
1417419714
Entity Type
Individual
Name
Jacob Graham Lanter
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Family Medicine
Enumeration Date
Apr 4, 2019
Last Updated
Aug 17, 2022

Practice Location

Address
739 N JEFFERSON ST
ZIP Code
62258-1447
Phone
(618) 566-8810

Specialties & Taxonomy Codes

Specialty
Family Medicine
Student in an Organized Health Care Education/Training Program

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