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Organization

LANCE D BRIGMAN, MD, PS

Active
Organization subpart
No

Provider details

NPI number
Authorized official
LANCE D BRIGMAN M.D. (M.D.)
(360) 423-6110
Entity
Organization

Contact information

Practice address
1004 FIR ST, LONGVIEW, WA 98632-2527
(360) 423-6110
(360) 423-8078
Mailing address
1004 FIR ST, LONGVIEW, WA 98632-2527
(360) 423-6110
(360) 423-8078

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
MD00013785
WA
2084P0804X
Child & Adolescent Psychiatry Physician
MD00030053
WA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1084862
WA
05
1104009
WA
Enumeration date
08/31/2007
Last updated
08/31/2007
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