Individual
SCOTT JEROME LANCE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2000 ASHLAND DR, ASHLAND, KY 41101-7058
(606) 326-0322
(606) 326-9809
Mailing address
2000 ASHLAND DR, P.O. BOX 1447, ASHLAND, KY 41101-7058
(606) 326-0322
(606) 326-9809
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
32271
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000189139
ANTHEM 12 DIGIT NUMBER
KY
05
—
2245841
—
OH
05
—
64031826
—
KY
Enumeration date
08/08/2006
Last updated
07/08/2007
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