Update this page – If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS.
Individual
LANCE Y ZIMMERMAN
Active
Individual
LANCE Y ZIMMERMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PHD
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
PSY27555
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1255331005
GROUP NPI
MO
05
—
495299919
—
MO
Enumeration date
06/16/2006
Last updated
05/08/2024
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