Organization
CERTIFIED MEDICAL GROUP, INC
Active
Other names
Dr Lancy Allyn , & Associates
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DONALD LANCY ALLYN M.D. (OWNER/PRESIDENT)
(559) 584-3000
Entity
Organization
Contact information
Practice address
125 MALL DR., SUITE 301, HANFORD, CA 93230
(559) 584-3000
(559) 583-8456
Mailing address
125 MALL DR., SUITE 301, HANFORD, CA 93230
(559) 584-3000
(559) 583-8456
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
G21696
CA
Other
Enumeration date
08/01/2006
Last updated
12/29/2011
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