Individual
LANCE T WILSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
4323 INTEGRITY CENTER PT, COLORADO SPRINGS, CO 80917-1683
(719) 591-2558
(719) 591-2596
Mailing address
4323 INTEGRITY CENTER PT, COLORADO SPRINGS, CO 80917-1683
(719) 591-2558
(719) 591-2596
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
2001-124
NM
207P00000X
Emergency Medicine Physician
Primary
DR.0050846
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000G5508
—
NM
Enumeration date
08/02/2006
Last updated
03/13/2026
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