Individual
MR. LANCE LEE HAMILTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2618 SE J ST, STE 12, BENTONVILLE, AR 72712-3857
(479) 715-6505
(479) 340-0015
Mailing address
2618 SE J ST, STE 12, BENTONVILLE, AR 72712-3857
(479) 715-6505
(479) 340-0015
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
N8166
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100125440A
—
OK
05
—
121148001
—
AR
05
—
121148801
—
AR
Enumeration date
10/06/2005
Last updated
12/17/2019
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