Most Relevant Information
Provider Data
| NPI Number: | 1003549726 |
| Provider Name: | LANYAIRD ANTHONY SMITH MA |
| Entity Type: | Individual |
| Taxonomy Code: | 101YM0800X |
| Specialty: | Counselor |
| License Number: |
Most Important Dates
| Enumeration Date: | 07/08/2022 |
| Last Updated: | 07/08/2022 |
Provider Practice Location
5720 S INDIANA AVE
CHICAGO
IL
606371206
Practice Location Phone/Fax
| Phone: | 7733984810 |
| Fax: |
Provider Mailing Location
5720 S INDIANA AVE
CHICAGO
IL
606371206
Provider Mailing Phone/Fax
| Phone: | 7733984810 |
| Fax: |