Individual
DR. LANCE ELLIS CLEVELAND
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.C.
Contact information
Practice address
45 HARDY COURT CTR, STE. 103, GULFPORT, MS 39507-2501
(228) 324-5883
Mailing address
45 HARDY COURT CTR, STE. 103, GULFPORT, MS 39507-2501
(228) 324-5883
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
464
MS
Other
Enumeration date
09/25/2013
Last updated
09/25/2013
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