Individual
LANCE E HARDWIG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
P.A,
Contact information
Practice address
13071 NETT LAKE RD., NETT LAKE, MN 55771
(218) 757-3295
(218) 757-0222
Mailing address
3920 13TH AVE E, SUITE 6, HIBBING, MN 55746-3675
(218) 263-7540
(866) 732-0699
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
30109
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
63G36HA
BCBS
MN
Enumeration date
08/12/2006
Last updated
04/18/2008
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