Individual
SAMUEL LANCE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2401 S 31ST ST, TEMPLE, TX 76508-2736
(254) 724-2111
Mailing address
PO BOX 844658, DALLAS, TX 75284-4658
(254) 724-2111
Taxonomy
Speciality
Code
Description
License number
State
208200000X
Plastic Surgery Physician
A114551
CA
208200000X
Plastic Surgery Physician
Primary
T9161
TX
Other
Enumeration date
06/17/2009
Last updated
11/01/2022
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