Individual
DR. LANCE DEAN ASHWORTH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
73 W GRANADA BLVD, ORMOND BEACH, FL 32174-6302
(386) 672-0220
(386) 672-0105
Mailing address
1048 SHOCKNEY DR, ORMOND BEACH, FL 32174-3325
(386) 275-5911
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
OS8753
FL
Other
Enumeration date
05/08/2007
Last updated
08/26/2011
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