Individual
LANCE O. ALLEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D. O.
Contact information
Practice address
355 N MAIN ST, KANAB, UT 84741-3260
(435) 644-4100
(435) 644-3366
Mailing address
1055 N 500 W, ATTN CREDENTIALING, PROVO, UT 84604
(801) 354-8225
(801) 418-0941
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
81778
WI
207Q00000X
Family Medicine Physician
Primary
362191-1204
UT
207Q00000X
Family Medicine Physician
MEDO8306
AK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1627681
—
AK
01
—
K166413
MEDICARE PTAN
AK
Enumeration date
07/06/2010
Last updated
04/27/2026
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us