Individual
DR. LANCE E UNDERWOOD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
OD
Contact information
Practice address
915 N DUPONT BLVD STE 1, MILFORD, DE 19963
(302) 651-4413
(302) 651-4445
Mailing address
915 N DUPONT BLVD, MILFORD, DE 19963-1013
(302) 651-4413
(302) 651-4445
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
130001298
DE
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1000038371
—
DE
01
—
161525705
BCBSDE
DE
Enumeration date
03/03/2006
Last updated
08/23/2019
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