Individual
DR. MICHAEL LANCE QUEEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1190 FILBERT HWY, YORK, SC 29745-9324
(803) 628-0004
Mailing address
4134 B CHARLOTTE HWY, LAKE WYLIE, SC 29710
(919) 440-9554
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
10863
SC
Other
Enumeration date
04/02/2007
Last updated
07/09/2007
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