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General NPI Number Information
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NPI Number | 1114044237
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Entity Type | Individual
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Provider Name | SEAN EDWARD LANIGAR M.D.
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Gender | Male
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Dates
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Enumeration Date | 03/23/2007
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Last Update Date | 07/10/2025
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Provider Practice Location Address
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Address Line | 402 N KEENE ST
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City | COLUMBIA
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State | MO
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Zip | 65201-8369
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Country | US
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Telephone | 573-882-1515
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Fax | 573-884-0070
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Provider Business Mailing Address
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Address Line | PO BOX 843966
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City | KANSAS CITY
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State | MO
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Zip | 64184-3966
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Country | US
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Telephone | 573-884-3300
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Fax | 573-884-0943
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 2084N0400X
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Taxonomy Name | Neurology Physician
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License Number | 2008013242
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License Number State | MO
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Taxonomy #2
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Taxonomy Code | 2084N0400X
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Taxonomy Name | Neurology Physician
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License Number | 4301087558
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License Number State | MI
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Taxonomy #3
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Taxonomy Code | 2084N0402X
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Taxonomy Name | Neurology with Special Qualifications in Child Neurology Physician
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License Number | 4301087558
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License Number State | MI
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Taxonomy #4
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Taxonomy Code | 2084N0600X
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Taxonomy Name | Clinical Neurophysiology Physician
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License Number | 4301087558
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License Number State | MI
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Taxonomy #5
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Taxonomy Code | 2084E0001X
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Taxonomy Name | Epilepsy Physician
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License Number | 2008013242
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License Number State | MO
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