Individual
LANCE QUINTANA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
211 NW 5TH ST, GUYMON, OK 73942-4203
(806) 339-1449
Mailing address
211 NW 5TH ST, GUYMON, OK 73942-4203
(806) 339-1449
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
4341
OK
Other
Enumeration date
10/16/2019
Last updated
10/16/2019
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