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Individual

LANCE PAUL GOOD

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
DNAP, CRNA

Contact information

Practice address
6225 STATE HWY 161 STE 200, IRVING, TX 75038-2241
(214) 687-0001
(972) 518-2100
Mailing address
3618 SAPPHIRE CT, CORPUS CHRISTI, TX 78414-5640
(701) 740-7606

Taxonomy

Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
1010458
TX
367500000X
Certified Registered Nurse Anesthetist
319703
AZ
367500000X
Certified Registered Nurse Anesthetist
R40320
ND

Other

Enumeration date
05/27/2020
Last updated
02/11/2025
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