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Individual

LANCE JOSEPH BUXTON

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
N.P.

Contact information

Practice address
2005 ARLINGTON AVE, CALDWELL, ID 83605-4808
(208) 459-1025
(208) 459-1080
Mailing address
PO BOX 9, NAMPA, ID 83653-0009
(208) 459-1025
(208) 459-1080

Taxonomy

Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
681333
TX
363LF0000X
Family Nurse Practitioner
Primary
NP-648A
ID

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
8Y4032
BCBS PVN
TX
Enumeration date
04/27/2006
Last updated
11/16/2015
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