Individual
ROBERT W LANCEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1 HOSPITAL DR, DC043.00, COLUMBIA, MO 65212-0001
(573) 884-2375
(573) 884-3037
Mailing address
PO BOX 7687, COLUMBIA, MO 65205-7687
(573) 882-2259
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
MD118788
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
124667
BLUE SHIELD/BLUE CHOICE
MO
05
—
204669204
—
MO
01
—
2086756601
KANSAS MEDICAID
KS
01
—
401254
UNITED HEALTCARE
MO
01
—
409927
HEALTHLINK
MO
Enumeration date
05/05/2006
Last updated
09/15/2022
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