Individual
LANCE EDMUND BAUGHMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA
Contact information
Practice address
3841 PIPER ST, T3-277, ANCHORAGE, AK 99508-4624
(907) 375-2000
(907) 375-5558
Mailing address
PO BOX 3482, POST FALLS, ID 83877-3482
(208) 618-0690
Taxonomy
Speciality
Code
Description
License number
State
363AS0400X
Surgical Physician Assistant
Primary
560
AK
Other
Enumeration date
07/15/2006
Last updated
01/10/2011
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