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MR. LANCE WEBSTER WEGENER

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
ARNP-C

Contact information

Practice address
11528 US HIGHWAY 19, PORT RICHEY, FL 34668
(727) 868-2151
Mailing address
7064 SAN LUCAS CT, NEW PORT RICHEY, FL 34655-3600
(727) 505-4519

Taxonomy

Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
ARNP 1062972
FL

Other

Enumeration date
05/10/2006
Last updated
07/20/2018
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