Individual
LANCE BODILY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
5750 CENTRE AVE STE 230, PITTSBURGH, PA 15206-3761
(412) 681-4220
(412) 681-4396
Mailing address
5750 CENTRE AVE STE 230, PITTSBURGH, PA 15206-3761
(412) 681-4220
(412) 681-4396
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
469561
PA
207WX0200X
Ophthalmic Plastic and Reconstructive Surgery Physician
Primary
MD469561
PA
Other
Enumeration date
04/07/2014
Last updated
10/06/2021
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