Individual
LANCE MITCHELL SIEGEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1246 E ARROW HWY, STE A, UPLAND, CA 91786-4955
(909) 931-9675
(909) 931-3239
Mailing address
1246 E ARROW HWY STE A, UPLAND, CA 91786-4955
(909) 931-9675
(909) 931-3239
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
G72351
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00G723510
—
CA
Enumeration date
02/24/2006
Last updated
02/17/2015
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