MEDICARE: DR. JOHN F LANN D.D.S.

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	1223G0001X	General Practice Dentistry	18086	TX

General Provider Information

NPI Number	:	1982725883
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. JOHN F LANN D.D.S.

Provider Business Mailing Address
First Line	:	601 GREAT OAKS DR
Second Line	:	SUITE C
City	:	ROUND ROCK
State	:	TX
Zip	:	78681-3636
Country	:	US
Telephone Number	:	512-255-1025
Fax Number	:	512-255-1027

Provider Business Practice Location Address
First Line	:	601 GREAT OAKS DR
Second Line	:	SUITE C
City	:	ROUND ROCK
State	:	TX
Zip	:	78681-3636
Country	:	US
Telephone Number	:	512-255-1025
Fax Number	:	512-255-1027

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

Provider Enumeration Date	:	04/02/2007
Last Update Date	:	07/08/2007

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