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Organization
ANDRA G LANCE
Active
Organization
ANDRA G LANCE
Active
Other names
LANCE FAMILY MEDICAL
Organization subpart
No
Provider details
NPI number
Authorized official
ANDRA LANCE (OWNER/OFFICE MANAGER)
(740) 286-1822
Entity
Organization
Contact information
Practice address
212 PEARL ST, SUITE E, JACKSON, OH 45640-1795
(740) 286-1822
Mailing address
PO BOX 984, JACKSON, OH 45640-0984
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
NULL
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Enumeration date
07/03/2008
Last updated
08/02/2010
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