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Individual

MR. LANCE KEVIN CHAYKIN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
PA-C

Contact information

Practice address
3153 CANADA CT, LAKE WORTH, FL 33461-5517
(561) 296-1582
(561) 649-8861
Mailing address
631 US HIGHWAY 1, 304, NORTH PALM BEACH, FL 33408-4617
(561) 615-6664
(561) 615-4042

Taxonomy

Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
PA9101373
FL

Other

Enumeration date
06/17/2011
Last updated
06/17/2011
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