Individual
DR. AUDREY ANN LANCE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
1500 E MEDICAL CENTER DR, 9TH FLOOR RECEPTION B, ANN ARBOR, MI 48109-4276
(734) 763-6295
Mailing address
3621 S STATE ST, 700 KMS PLACE, ANN ARBOR, MI 48108
(734) 936-2047
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
4301089906
MI
207VX0000X
Obstetrics Physician
4301089906
MI
390200000X
Student in an Organized Health Care Education/Training Program
4301089906
MI
Other
Enumeration date
06/26/2007
Last updated
04/26/2012
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