Individual
CLIFFORD S LANCE
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
PA
Contact information
Practice address
2699 N 17TH ST, COOS BAY, OR 97420-2134
(541) 266-3600
(541) 269-0708
Mailing address
2699 N 17TH ST, COOS BAY, OR 97420-2134
(541) 266-3600
(541) 269-0708
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA00028
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
97420A004
TRICARE
—
01
—
C105013
PACIFIC SOURCE
—
Enumeration date
05/19/2006
Last updated
07/08/2007
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us