Individual
LANCE KEKOLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
5255 LOUGHBORO RD NW, WASHINGTON, DC 20016-2695
(202) 243-2280
Mailing address
744 W MICHIGAN AVE, JACKSON, MI 49201-1909
(517) 787-6440
(517) 787-4146
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
DO18373
DC
207L00000X
Anesthesiology Physician
Primary
H51707
MD
Other
Enumeration date
06/03/2006
Last updated
04/06/2011
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