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Individual

DR. LANCE C. FALER

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
70 DOCTORS PARK, CAPE GIRARDEAU, MO 63703-4928
(573) 334-6071
Mailing address
70 DOCTORS PARK, CAPE GIRARDEAU, MO 63703-4928
(573) 334-6071

Taxonomy

Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
2007001559
MO
2085R0202X
Diagnostic Radiology Physician
Primary
31633
TN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
207391608
MO
Enumeration date
06/20/2006
Last updated
08/02/2022
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