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Individual
DR. LANCE KELLY
Active
Individual
DR. LANCE KELLY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
036154058
IL
207L00000X
Anesthesiology Physician
125.072310
IL
Other
Enumeration date
03/29/2018
Last updated
06/26/2022
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