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Individual

LANCE ALLEE

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man

Contact information

Practice address
8814 HORIZON BLVD NE, ALBUQUERQUE, NM 87113-1689
(505) 828-2400
Mailing address
10836 ROCKY MOUNTAIN DR NW, ALBUQUERQUE, NM 87114-3565
(505) 792-2325

Taxonomy

Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
3207
NM
225100000X
Physical Therapist
361183-2401
UT

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
003402632
NV
Enumeration date
05/19/2006
Last updated
06/17/2008
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