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Organization

STAYTON FAMILY PRACTICE INC

Active
Other names
Lebanon Family Practice
Organization subpart
No

Provider details

NPI number
Authorized official
LANCE BRANDON LARGE MD (MEDICAL DIRECTOR)
(503) 400-6140
Entity
Organization

Contact information

Practice address
41 E ASH ST, LEBANON, OR 97355-3317
(503) 769-2641
(503) 769-3797
Mailing address
1881 W WASHINGTON ST, STAYTON, OR 97383-9511
(503) 400-6140
(503) 769-3797

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary

Other

Enumeration date
10/01/2018
Last updated
06/15/2022
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