Individual
DR. LANCE B BARLAS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
167 LYNCH CREEK WAY, PETALUMA, CA 94954-2343
(707) 763-4453
(707) 763-5062
Mailing address
167 LYNCH CREEK WAY, PETALUMA, CA 94954-2343
(707) 763-4453
(707) 763-5062
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
G40183
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00G401830
—
CA
Enumeration date
05/27/2005
Last updated
11/30/2020
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