Individual
LANCE EUGENE GRAVELY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
50 ALESSANDRO PL STE 340, PASADENA, CA 91105-3184
(323) 221-1302
(323) 221-1502
Mailing address
39 CONGRESS ST, SUITE 302, PASADENA, CA 91105-3024
(323) 221-1302
(323) 221-1502
Taxonomy
Speciality
Code
Description
License number
State
207T00000X
Neurological Surgery Physician
Primary
A87871
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00A878710
—
CA
Enumeration date
12/08/2006
Last updated
02/23/2021
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us