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Individual
LANCE KRUEGER
Active
Individual
LANCE KRUEGER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Taxonomy
Speciality
Code
Description
License number
State
208G00000X
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
10001625A
IN
363AS0400X
Surgical Physician Assistant
Primary
1501434
KS
363AS0400X
Surgical Physician Assistant
493
NE
Other
Enumeration date
05/18/2006
Last updated
11/19/2024
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