Individual
LANCE HOLCOMB
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
109 NE MANZANITA AVE, GRANTS PASS, OR 97526-1400
(541) 476-2323
Mailing address
1215 SW G ST, GRANTS PASS, OR 97526-2544
(541) 476-2323
Taxonomy
Speciality
Code
Description
License number
State
175T00000X
Peer Specialist
Primary
—
—
Other
Enumeration date
09/15/2023
Last updated
09/15/2023
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