Laniel Razdolsky
NPI #1598179483 in Lake Forest, Illinois
Provider Information
- NPI Number
- 1598179483
- Entity Type
- Individual
- Name
- Laniel Razdolsky
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Dentist
- Enumeration Date
- Jun 18, 2014
- Last Updated
- Oct 26, 2015
Practice Location
- Address
- 133 E LAUREL AVE
- City
- Lake Forest
- State
- Illinois
- ZIP Code
- 60045-1326
- Phone
- (847) 234-6440
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dentist |
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