Individual
LANCE A GRIZZARD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
8260 ATLEE RD, MECHANICSVILLE, VA 23116-1844
(804) 288-6258
(804) 282-9921
Mailing address
3100 SPRING FOREST RD STE 130, RALEIGH, NC 27616-2880
(888) 280-9533
(919) 873-9821
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
0001154508
VA
367500000X
Certified Registered Nurse Anesthetist
Primary
0024166429
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
010163188
—
VA
Enumeration date
10/10/2005
Last updated
01/12/2018
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