Individual
DR. LANCE WAYNE PYSHER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
300 LACKAWANNA AVE STE 200, SCRANTON, PA 18503-2001
(570) 342-7864
(570) 800-7514
Mailing address
PO BOX 637, HAMILTON, MT 59840-0637
(406) 375-4427
(888) 522-6371
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
11194
MT
2085R0202X
Diagnostic Radiology Physician
35261
CO
2085R0202X
Diagnostic Radiology Physician
Primary
MD471642
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000095346
BLUE CROSS BLUE SHIELD
MT
05
—
0038129
—
MT
05
—
01352616
—
CO
01
—
300073804
RAILROAD MEDICARE
CO
05
—
807619700
—
ID
01
—
P00350389
RAILROAD MEDICARE
MT
Enumeration date
09/12/2006
Last updated
07/14/2022
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