Provider Demographics
NPI:1750553343
Name:LANNING, ALEX B (DC)
Entity type:Individual
Prefix:DR
First Name:ALEX
Middle Name:B
Last Name:LANNING
Suffix:
Gender:M
Credentials:DC
Other - Prefix:
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Mailing Address - Street 1:5415 NICOLLET AVE
Mailing Address - Street 2:
Mailing Address - City:MINNEAPOLIS
Mailing Address - State:MN
Mailing Address - Zip Code:55419-5417
Mailing Address - Country:US
Mailing Address - Phone:612-824-3141
Mailing Address - Fax:888-349-7109
Practice Address - Street 1:5415 NICOLLET AVE
Practice Address - Street 2:
Practice Address - City:MINNEAPOLIS
Practice Address - State:MN
Practice Address - Zip Code:55419
Practice Address - Country:US
Practice Address - Phone:612-824-3141
Practice Address - Fax:888-349-7109
Is Sole Proprietor?:Yes
Enumeration Date:2008-03-24
Last Update Date:2011-05-05
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
MN4955111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
MN350004196Medicare PIN