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Individual

LANCE VANWOY

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
DPM

Contact information

Practice address
975 SERENO DR, VALLEJO, CA 94589-2441
(707) 651-1000
Mailing address
1800 HARRISON ST FL 7, OAKLAND, CA 94612-3466
(510) 625-6262

Taxonomy

Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
E4266
CA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
000E42660
CA
Enumeration date
01/22/2007
Last updated
12/13/2021
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