Individual
MR. LANCE CHARLES LEFURGE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHYSICAL THERAPIST
Contact information
Practice address
1555 SE DELAWARE AVE, ANKENY, IA 50021-4011
(515) 963-8723
(515) 963-8755
Mailing address
1555 SE DELAWARE AVE, ANKENY, IA 50021-4011
(515) 963-8723
(515) 963-8755
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
4169
IA
225100000X
Physical Therapist
4926
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
P00606786
RR MEDICARE
IA
Enumeration date
05/23/2006
Last updated
12/03/2015
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