Organization
LANCE E.GRAVELY, M.D., INC.
Active
Other names
Lance E. Gravely, M.D., Inc.
Organization subpart
No
Provider details
NPI number
Authorized official
DR. LANCE EUGENE GRAVELY M.D. (PRESIDENT/CEO)
(323) 221-1302
Entity
Organization
Contact information
Practice address
1700 E. CESAR CHAVEZ AVENUE, SUITE 3750, LOS ANGELES, CA 90033-2424
(323) 221-1302
(323) 221-1502
Mailing address
1700 E. CESAR CHAVEZ AVE., SUITE 3750, LOS ANGELES, CA 90033-2424
(323) 221-1302
(323) 221-1502
Taxonomy
Speciality
Code
Description
License number
State
207T00000X
Neurological Surgery Physician
Primary
A87871
CA
Other
Enumeration date
08/18/2009
Last updated
03/09/2011
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