Provider Demographics
NPI:1801821624
Name:LANAGHAN, JOHN C (MD)
Entity Type:Individual
Prefix:DR
First Name:JOHN
Middle Name:C
Last Name:LANAGHAN
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:520 10TH AVE
Mailing Address - Street 2:SUITE 200
Mailing Address - City:CORALVILLE
Mailing Address - State:IA
Mailing Address - Zip Code:52241-1923
Mailing Address - Country:US
Mailing Address - Phone:319-358-2406
Mailing Address - Fax:319-358-9276
Practice Address - Street 1:520 10TH AVE
Practice Address - Street 2:SUITE 200
Practice Address - City:CORALVILLE
Practice Address - State:IA
Practice Address - Zip Code:52241-1923
Practice Address - Country:US
Practice Address - Phone:319-358-2406
Practice Address - Fax:319-358-9276
Is Sole Proprietor?:No
Enumeration Date:2006-07-11
Last Update Date:2007-07-08
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
IA33137207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine