Individual
DR. LANCE RAYMOND HENNINGER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
100 BREWSTER BLVD, CAMP LEJEUNE, NC 28547-2538
(910) 450-4840
Mailing address
100 BREWSTER BLVD, NAVAL HOSPITAL, CAMP LEJEUNE, NC 28547-2538
(910) 450-4840
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
2015-00537
NC
208D00000X
General Practice Physician
23786
NE
Other
Enumeration date
08/10/2006
Last updated
09/30/2018
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