Individual
LANCE R MEYERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
12500 N DALE MABRY HWY STE F, TAMPA, FL 33618-2809
(813) 907-9992
(813) 355-5034
Mailing address
38135 MARKET SQ, ZEPHYRHILLS, FL 33542-7505
(352) 567-0188
(813) 355-5101
Taxonomy
Speciality
Code
Description
License number
State
207Y00000X
Otolaryngology Physician
Primary
ME70699
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
251417600
—
FL
01
—
P00625641
RR MEDICARE
FL
Enumeration date
09/08/2005
Last updated
08/26/2021
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