Individual
LANCE DAVID HEIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
1100 VAN NESS AVE, SAN FRANCISCO, CA 94109-6978
(415) 600-5780
Mailing address
325 DISTEL CIR, LOS ALTOS, CA 94022-1408
(415) 600-5780
Taxonomy
Speciality
Code
Description
License number
State
363AS0400X
Surgical Physician Assistant
Primary
PA20476
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
205741601
—
TX
01
—
8Y9820
BLUE CROSS BLUE SHIELD
TX
01
—
CD069A
GROUP PTAN-GREATER MODESTO SURGICAL ASSOCIATES
CA
Enumeration date
10/23/2006
Last updated
12/26/2023
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