Individual
LANCE WILLIAM CAMACHO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
4102 PINION DR, UNITED STATES AIR FORCE ACAD, CO 80840-2502
(719) 333-6054
Mailing address
4102 PINION DR, USAF ACADEMY, CO 80840-2502
(719) 333-6054
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
PA08575
TX
363AM0700X
Medical Physician Assistant
PA9109563
FL
Other
Enumeration date
12/09/2009
Last updated
08/11/2021
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