Individual
LANCE KRUEGER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
501 S SANTA FE AVE, SUITE 200, SALINA, KS 67401-4189
(785) 452-7562
(785) 452-7105
Mailing address
501 S SANTA FE AVE, SUITE 200, SALINA, KS 67401-4189
(785) 452-7562
(785) 452-7105
Taxonomy
Speciality
Code
Description
License number
State
208G00000X
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
10001625A
IN
363AS0400X
Surgical Physician Assistant
Primary
1501434
KS
363AS0400X
Surgical Physician Assistant
493
NE
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200715390A
—
KS
Enumeration date
05/18/2006
Last updated
11/19/2024
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