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NPI Code Detail

MEDICARE: LANA D SCHMIDT M.D.

MEDICARE: LANA D SCHMIDT M.D.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1207N00000XDermatology Physician036099940IL

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1245260082
Entity Type Code : Individual
Provider Name (Legal Business Name) : LANA D SCHMIDT M.D.
Provider Business Mailing Address
First Line : PO BOX 19248
Second Line :
City : SPRINGFIELD
State : IL
Zip : 62794-9248
Country : US
Telephone Number : 217-528-7541
Fax Number :
Provider Business Practice Location Address
First Line : 300 N MAPLE ST
Second Line :
City : EFFINGHAM
State : IL
Zip : 62401-2003
Country : US
Telephone Number : 217-342-4151
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/04/2006
Last Update Date : 05/20/2020

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Directions to “ LANA D SCHMIDT M.D.” Practice Location

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