Individual
LANCE M COHEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1330 S FORT HARRISON AVE, CLEARWATER, FL 33756-3313
(727) 441-3588
(727) 461-1038
Mailing address
1330 S FORT HARRISON AVE, CLEARWATER, FL 33756-3313
(727) 441-3588
(727) 461-1038
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
ME57724
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
006282600
—
FL
Enumeration date
01/11/2007
Last updated
09/02/2015
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