Individual
LANCE MAYNES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MS, OTR/L
Contact information
Practice address
270 BACON CREEK RD, CORBIN, KY 40701-8640
(606) 528-8822
Mailing address
101 POWELL DR, BARBOURVILLE, KY 40906-1519
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
161473
KY
Other
Enumeration date
05/17/2018
Last updated
05/17/2018
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