Individual
LANCE DELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
9504 RIVERDALE LN NW, ALBUQUERQUE, NM 87114-5965
(702) 759-8600
(702) 384-1815
Mailing address
PO BOX 97641, #100, LAS VEGAS, NV 89193-7641
(855) 613-5393
Taxonomy
Speciality
Code
Description
License number
State
2085N0700X
Neuroradiology Physician
87222
NM
2085R0202X
Diagnostic Radiology Physician
Primary
87222
NM
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
17079
—
NM
Enumeration date
07/26/2006
Last updated
01/12/2017
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