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Individual
LANCE THOMAS LEE
Active
Individual
LANCE THOMAS LEE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
A145706
CA
208D00000X
General Practice Physician
Primary
A145706
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
R184935
MEDICARE PTAN
OR
Enumeration date
04/16/2012
Last updated
08/12/2024
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