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Individual

LANCE S ROBERTS

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
D.O.

Contact information

Practice address
414 PAOLI PIKE, MALVERN, PA 19355-3311
(484) 596-5000
(610) 296-4915
Mailing address
414 PAOLI PIKE, MALVERN, PA 19355-3311
(484) 596-5000
(610) 296-4915

Taxonomy

Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
OS006197L
PA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
0012028150004
PA
Enumeration date
02/03/2006
Last updated
07/27/2015
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