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Individual
MR. LANCE ERIK POPHAM
Active
Individual
MR. LANCE ERIK POPHAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
RN, MSN, NP-C, FNP
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
821458
TX
163WE0003X
Emergency Registered Nurse
821458
TX
363LF0000X
Family Nurse Practitioner
Primary
F09151139
TX
Other
Enumeration date
09/22/2015
Last updated
05/18/2022
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