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NPI Code Detail

MEDICARE: JEFFREY E LANFORD MD

MEDICARE: JEFFREY E LANFORD MD
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
12086S0129XVascular Surgery Physician15821SC

General Provider Information

NPI Number : 1619083060
Entity Type Code : Individual
Provider Name (Legal Business Name) : JEFFREY E LANFORD MD
Provider Business Mailing Address
First Line : 160 ACADEMY AVE
Second Line :
City : GREENWOOD
State : SC
Zip : 29646-3808
Country : US
Telephone Number : 864-223-8090
Fax Number : 864-223-4026
Provider Business Practice Location Address
First Line : 160 ACADEMY AVE
Second Line :
City : GREENWOOD
State : SC
Zip : 29646-3808
Country : US
Telephone Number : 864-223-8090
Fax Number : 864-223-4026
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/21/2006
Last Update Date : 12/09/2021

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