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Individual
LANCE MARCUS RECCOPPA
Active
Individual
LANCE MARCUS RECCOPPA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
MD496006
PA
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
05/03/2020
Last updated
06/17/2026
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