Individual
LANCE WAYNE COLEMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
520 S EAGLE RD, #1223, MERIDIAN, ID 83642-6308
(208) 888-4368
Mailing address
520 S EAGLE RD, #1223, MERIDIAN, ID 83642-6308
(208) 888-4368
Taxonomy
Speciality
Code
Description
License number
State
207YX0007X
Plastic Surgery within the Head & Neck (Otolaryngology) Physician
Primary
M7160
ID
Other
Enumeration date
06/16/2006
Last updated
10/25/2007
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