MEDICARE: DR. STEVEN TYLER LANIER 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
1	208200000X	Plastic Surgery Physician	036137079	IL
2	2082S0105X	Surgery of the Hand (Plastic Surgery) Physician	036137079	IL

General Provider Information

NPI Number	:	1871856690
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. STEVEN TYLER LANIER MD

Provider Business Mailing Address
First Line	:	680 N LAKE SHORE DR STE 924
Second Line	:
City	:	CHICAGO
State	:	IL
Zip	:	60611-8701
Country	:	US
Telephone Number	:	847-866-7846
Fax Number	:	866-954-5787

Provider Business Practice Location Address
First Line	:	680 N LAKE SHORE DR STE 924
Second Line	:
City	:	CHICAGO
State	:	IL
Zip	:	60611-8701
Country	:	US
Telephone Number	:	847-866-7846
Fax Number	:	866-954-5787

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	06/18/2012
Last Update Date	:	03/03/2026

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