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Individual

LANCE F YEOMAN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
D.O.

Contact information

Practice address
225 PHYSICIANS PARK STE 203, POPLAR BLUFF, MO 63901-3921
(573) 686-4750
(573) 686-4753
Mailing address
PO BOX 699, POPLAR BLUFF, MO 63902-0699
(573) 686-4750
(573) 686-4753

Taxonomy

Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
0102201530
VA
207N00000X
Dermatology Physician
01955
IA
207N00000X
Dermatology Physician
200700075
NC
207N00000X
Dermatology Physician
Primary
2008021956
MO
207N00000X
Dermatology Physician
30823021
WI

Other

Enumeration date
12/28/2005
Last updated
02/13/2015
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