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Individual

DR. LANCE CRAIG WHITNEY

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Taxonomy

Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
MD-11872
HI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
00A0237311
HMSA
01
517344-01
ACS
01
A015
CHAMPUS TRICARE
Enumeration date
07/17/2006
Last updated
04/05/2010
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