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Jacob Graham Lanter
Student in an Organized Health Care Education/Training Program in Mascoutah, Illinois
NPI 1417419714

Jacob Graham Lanter is a Student in an Organized Health Care Education/Training Program based in Mascoutah, IL. Jacob Graham Lanter practices in Mascoutah, IL. The NPI Number for Jacob Graham Lanter is 1417419714 and holds a License No. 036161533 (Illinois).

The current practice location address for Jacob Graham Lanter is 739 N Jefferson St, Mascoutah, IL and can be reached out via phone at 618-566-8810.

Location: 739 N Jefferson St, Mascoutah, IL, 62258-1447
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1417419714
Provider Name
Jacob Graham Lanter
Credential
Provider Entity Type
Individual
Gender
Male
Address
739 N Jefferson St, Mascoutah, IL, 62258-1447
Phone Number
618-566-8810
Fax Number
Provider Enumeration Date
04/04/2019
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
739 N Jefferson St
City
Mascoutah
State
Illinois
Zip
62258-1447
Phone Number
618-566-8810
Fax Number
person
Provider Business Mailing Address Details
Address
739 N Jefferson St
City
Mascoutah
State
Illinois
Zip
62258-1447
Phone Number
618-566-8810
Fax Number
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Family Medicine
Speciality
-
Taxonomy
207Q00000X
License No.
()
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
person
Provider's Taxonomy Details 2
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
390200000X
License No.
036161533 (Illinois)
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
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