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Individual

MR. LANCE DEE BRIGMAN

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
1004 FIR ST, LONGVIEW, WA 98632-2527
(360) 423-6110
(360) 423-8078
Mailing address
1004 FIR ST, LONGVIEW, WA 98632-2527
(360) 423-6110
(360) 423-8078

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
MD00013785
WA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
0014232
L & I
WA
05
1104009
WA
Enumeration date
06/01/2005
Last updated
10/05/2007
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