Individual
THERESA LANCE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2 EASTON OVAL, STE 450, COLUMBUS, OH 43219-6036
(614) 475-9500
Mailing address
2 EASTON OVAL, STE 450, COLUMBUS, OH 43219-6036
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
6446
OH
Other
Enumeration date
04/24/2008
Last updated
04/24/2008
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