Individual
DR. LANCE FELLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
795 PRIMERA BLVD STE 1001, LAKE MARY, FL 32746-2191
(386) 561-9967
Mailing address
795 PRIMERA BLVD STE 1001, LAKE MARY, FL 32746-2191
(386) 561-9967
Taxonomy
Speciality
Code
Description
License number
State
207RR0500X
Rheumatology Physician
Primary
ME137059
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100656600
—
FL
Enumeration date
08/22/2011
Last updated
04/25/2024
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