Individual
TIFFANY DEANNA LANCE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
701 GROVE RD, SUPPORT TOWER 3RD FLOOR, GREENVILLE, SC 29605-5611
(864) 455-1435
(864) 455-1320
Mailing address
410 N CEDAR BLUFF RD, SUITE 300, KNOXVILLE, TN 37923-3623
(865) 342-8900
(865) 691-0843
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
MD0000051185
TN
208600000X
Surgery Physician
LL32817
SC
Other
Enumeration date
04/28/2010
Last updated
10/05/2015
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