Individual
DR. LANCE ROBERT FULLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
893 HWY 70 WEST, SUITE 200, GARNER, NC 27529-2597
(919) 779-6461
(800) 881-4493
Mailing address
893 HWY 70 WEST, SUITE 200, GARNER, NC 27529-2597
(919) 779-6461
(800) 881-4493
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
2007-01083
NC
Other
Enumeration date
08/30/2007
Last updated
09/03/2015
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