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Individual
DR. MICHAEL LANCE HERMAN
Active
Individual
DR. MICHAEL LANCE HERMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
O.D.
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
8247T
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
954814055
BLUE CROSS CALIFORNIA
CA
05
—
SD0082470
—
CA
01
—
SD08247T0
BLUE SHIELD CALIFORNIA
CA
Enumeration date
01/03/2006
Last updated
03/14/2019
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