Individual
LANCE A SHILLIAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
224 W EXCHANGE ST STE 220, AKRON, OH 44302-1726
(330) 344-6401
(330) 344-1714
Mailing address
224 W EXCHANGE ST, SUITE 220, AKRON, OH 44302-1704
(330) 344-6401
(330) 344-1714
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
35.098023
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000822986
ANTHEM
OH
05
—
0085906
—
OH
Enumeration date
10/21/2008
Last updated
01/15/2018
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