Individual
DR. LANCE M TILLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DC
Contact information
Practice address
859 WASHINGTON BLVD STE 1, OGDEN, UT 84404-4972
(801) 621-6155
(801) 621-6158
Mailing address
859 WASHINGTON BLVD STE 1, OGDEN, UT 84404-4972
(801) 621-6155
(801) 621-6158
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
364218-1202
UT
Other
Enumeration date
11/28/2006
Last updated
08/04/2015
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