Individual
DR. LANCE ERIC LANDVATER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2800 BLUE RIDGE RD STE 201, RALEIGH, NC 27607-6477
(919) 784-7111
(919) 784-7110
Mailing address
2800 BLUE RIDGE RD STE 201, RALEIGH, NC 27607-6477
(919) 784-7110
(919) 784-7111
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
31318
NC
208G00000X
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
31318
NC
Other
Enumeration date
09/20/2006
Last updated
05/26/2021
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