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Contact Information

LANNY R BRENT, MD
3801 S NATIONAL AVE
SPRINGFIELD, MO65807-5210
 Phone: 417-269-4056
 Fax: 417-269-5556
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Diagnostic Radiology

2085R0202X 30 Physician/Diagnostic Radiology
Indicates primary specialty

NPI Profile & details for LANNY R BRENT · (Male)

NPI Number 1922067743
Status Active
Credentials MD
Entity Individual
Enumeration date 03/21/2006
Last updated 09/04/2009 - About 17 years ago
Sole proprietor 1 No
Identifiers
  • MO License # R4579
  • AR Medicaid 156871001
  • MO Medicaid 200479806
  • MO Other 1256 BLUE
  • MO Other 300043406 RRR MEDICARE
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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