Individual
LANCE DEROSS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
2419 CASTILLO ST, SANTA BARBARA, CA 93105-4301
(805) 682-1731
Mailing address
19131 WINDWARD WAY, COTTONWOOD, CA 96022-7914
Taxonomy
Speciality
Code
Description
License number
State
2086S0122X
Plastic and Reconstructive Surgery Physician
Primary
A194991
CA
Other
Enumeration date
06/04/2014
Last updated
06/03/2024
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