Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Jacob Graham Lanter

Individual provider Family Medicine Physician · NPI 1417419714

Jacob Graham Lanter is a Family Practice in Mascoutah, Illinois. Graduated from Southern Illinois University School of Medicine in 2019, 7 years ago. Practices with Lincoln Surgical Associates, Ltd, a 25-clinician group and accepts Medicare assignment. Licensed in Illinois.

Years since qualifying
7
Trained at
Southern Illinois University School of Medicine
Licensed in
IL
In the registry since
2019
Specialties on file
2

Practice location Address checks out

739 N Jefferson St
Mascoutah, IL 62258-1447
Phone: (618) 566-8810
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X · Licence 036161533 (IL)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X

Record details

NPI number1417419714
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedApril 4, 2019
Last updated in NPPESAugust 17, 2022
Certification dateAugust 17, 2022

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyFAMILY PRACTICE
Medical schoolSOUTHERN ILLINOIS UNIVERSITY SCHOOL OF MEDICINE
Graduated 2019 (7 years in practice)
Group practice Lincoln Surgical Associates, Ltd. — 25 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in Mascoutah