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Individual

DR. LANCE MATTHEW ORR

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
2170 SOUTH AVE, SOUTH LAKE TAHOE, CA 96150-7026
(530) 541-3420
Mailing address
1111 EMERALD BAY RD, SOUTH LAKE TAHOE, CA 96150-6207
(530) 543-5979
(530) 541-8723

Taxonomy

Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
11989
NV
207P00000X
Emergency Medicine Physician
Primary
A68183
CA

Other

Enumeration date
01/23/2006
Last updated
03/17/2018
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