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Individual
MR. LANCE CHARLES LEFURGE
Active
Individual
MR. LANCE CHARLES LEFURGE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHYSICAL THERAPIST
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
4169
IA
225100000X
Physical Therapist
4926
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
P00606786
RR MEDICARE
IA
Enumeration date
05/23/2006
Last updated
12/03/2015
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