Individual
LANCE E MALOTT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
O.D.
Contact information
Practice address
375 TROJAN LN, NEW CASTLE, IN 47362-2966
(765) 521-0675
(765) 593-0703
Mailing address
375 TROJAN LN, NEW CASTLE, IN 47362-2966
(765) 521-0675
(765) 593-0703
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
18002752B
IN
Other
Enumeration date
01/30/2006
Last updated
02/20/2008
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