Individual
LANCE EDGERTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
FNP-C
Contact information
Practice address
2390 MITCHELL PARK DR STE D, PETOSKEY, MI 49770-8965
(231) 487-7200
Mailing address
2390 MITCHELL PARK DR, PETOSKEY, MI 49770-8965
(231) 487-7200
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
4704286475
MI
Other
Enumeration date
01/03/2020
Last updated
06/16/2020
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