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

Kris Lanham

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1700720943

Kris Lanham is a Student in an Organized Health Care Education/Training Program in Peoria, Illinois. Practices as a sole proprietor and works from 2 locations. Licensed in Illinois.

Licensed in
IL
In the registry since
2026

Practice location Address checks out

221 NE Glen Oak Ave
Peoria, IL 61636-1000
Phone: (309) 672-5522
Show map & directions

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

Additional practice locations (1)

  • 900 Main St Ste 720, Peoria, IL 61602-5027 — (309) 495-1640

Specialties & licences

Student in an Organized Health Care Education/Training Program (primary) Taxonomy 390200000X (IL)

Record details

NPI number1700720943
Entity typeIndividual (Type 1)
GenderNot disclosed
Sole proprietorYes
NPI enumeratedApril 17, 2026
Last updated in NPPESApril 17, 2026
Certification dateApril 10, 2026
Mailing address1 Illini Dr, Peoria, IL 61605-2576

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