Individual
DR. SUSAN TAYLOR LANCE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
5207 REGAL WAY, COLUMBIA, MO 65203-9050
(252) 671-2667
Mailing address
5207 REGAL WAY, COLUMBIA, MO 65203-9050
(252) 671-2667
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
2015015768
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2015015768
STATE LICENSE
MO
01
—
6581
DENTAL LICENSE NUMBER
NC
Enumeration date
03/16/2007
Last updated
04/12/2017
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