Individual
LANCE THOMAS LEE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
320 SOLANO ST, CORNING, CA 96021-3454
(530) 824-3283
(530) 824-3285
Mailing address
320 SOLANO ST, CORNING, CA 96021-3454
(530) 824-3283
(530) 824-3285
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
A145706
CA
208D00000X
General Practice Physician
Primary
A145706
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
R184935
MEDICARE PTAN
OR
Enumeration date
04/16/2012
Last updated
08/12/2024
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