Individual
LANCE GAUTHNEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
8971 KINGSLEY DR, REYNOLDSBURG, OH 43068-6711
(614) 670-0704
Mailing address
8971 KINGSLEY DR, REYNOLDSBURG, OH 43068-6711
(614) 670-0704
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Enumeration date
03/13/2025
Last updated
03/13/2025
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