Individual
DR. LANCE HAMILTON BORUP
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
525 BRANSON LANDING BLVD, BRANSON, MO 65616-2052
(417) 875-3000
Mailing address
1202 RUSTIC RDG, JOPLIN, MO 64804-3679
(417) 434-2991
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
0533791
KS
2085R0202X
Diagnostic Radiology Physician
Primary
2009018431
MO
2085R0202X
Diagnostic Radiology Physician
4587
OK
2085R0202X
Diagnostic Radiology Physician
E-8860
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1356320436
—
MO
05
—
200202290A
—
OK
05
—
200614030D
—
KS
05
—
204512701
—
MO
Enumeration date
01/17/2006
Last updated
02/02/2023
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