Individual
DR. LANCE S. GOVERNALE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1149 SOUTH NEWELL DRIVE;, UNIV OF FLORIDA; DEPT OF NEUROSURGERY; ROOM L2-100, GAINESVILLE, FL 32611
(352) 273-9000
Mailing address
1149 SOUTH NEWELL DRIVE;, UNIV OF FLORIDA; DEPT OF NEUROSURGERY; ROOM L2-100, GAINESVILLE, FL 32611
(352) 273-9000
Taxonomy
Speciality
Code
Description
License number
State
207T00000X
Neurological Surgery Physician
217717
MA
207T00000X
Neurological Surgery Physician
35097637
OH
207T00000X
Neurological Surgery Physician
Primary
ME132499
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
021101100
—
FL
Enumeration date
11/03/2006
Last updated
07/21/2022
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