Individual
LAURIE A LANCE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1549 40TH AVE, MOLINE, IL 61265-7074
(309) 269-1809
Mailing address
1549 40TH AVE, MOLINE, IL 61265-7074
(309) 269-1809
Taxonomy
Speciality
Code
Description
License number
State
172A00000X
Driver
Primary
—
—
Other
Enumeration date
01/07/2026
Last updated
01/07/2026
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