Individual
JASON N LANCE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
4650 HARRISON BLVD, OGDEN, UT 84403-4303
(801) 475-3830
(801) 475-3838
Mailing address
PO BOX 5546, DENVER, CO 80217-5546
(801) 475-3830
(801) 475-3838
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
5892116-8905
UT
Other
Enumeration date
09/18/2007
Last updated
01/18/2017
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