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Grainger S Lanneau JR., MD
Gynecologic Oncology Physician in Melbourne, Florida
NPI 1801983275

Grainger S Lanneau JR. is a Gynecologic Oncology Physician based in Rockledge, FL and is specialized in Gynecologic Oncology. Grainger S Lanneau JR. practices in Melbourne, FL and has the professional credentials of MD. The NPI Number for Grainger S Lanneau JR. is 1801983275 and holds a License No. ME135402 (Florida).

The current practice location address for Grainger S Lanneau JR. is 1130 S. Hickory Street Suite B, Melbourne, FL and can be reached out via phone at 321-725-0944 and via fax at 321-434-7590. You can also correspond with Grainger S Lanneau JR. through the mailing address at 3300 S FISKE BLVD, ROCKLEDGE, FL - 32955-4306 (mailing address contact number: ).

Location: 1130 S. Hickory Street Suite B, Melbourne, FL, 32955-4306
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1801983275
Provider Name
Grainger S Lanneau JR.
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
1130 S. Hickory Street Suite B, Melbourne, FL, 32955-4306
Phone Number
321-725-0944
Fax Number
321-434-7590
Provider Enumeration Date
10/06/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
024274900 05 FL
JH796Z 01 FL MEDICARE
institution
Provider Business Practice Location Address Details
Address
1130 S. Hickory Street Suite B
City
Melbourne
State
Florida
Zip
32901-5417
Phone Number
321-725-0944
Fax Number
321-434-7590
person
Provider Business Mailing Address Details
Address
1130 S. Hickory Street Suite B
City
Melbourne
State
Florida
Zip
32901-5417
Phone Number
321-725-0944
Fax Number
321-434-7590
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Obstetrics & Gynecology
Speciality
Gynecologic Oncology
Taxonomy
207VX0201X
License No.
ME135402 (Florida)
Definition
An obstetrician/gynecologist who provides consultation and comprehensive management of patients with gynecologic cancer, including those diagnostic and therapeutic procedures necessary for the total care of the patient with gynecologic cancer and resulting complications.
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