Organization
LANCE MIDDLETON M.D., PH.D., P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. LANCE MIDDLETON M.D. (PRESIDENT)
(225) 335-4986
Entity
Organization
Contact information
Practice address
3030 BRIDGEWAY STE 212, SAUSALITO, CA 94965-2898
(707) 504-9982
Mailing address
32 LESLIE CT, NOVATO, CA 94947-2921
(225) 335-4986
Taxonomy
Speciality
Code
Description
License number
State
261QM0850X
Adult Mental Health Clinic/Center
Primary
—
—
Other
Enumeration date
03/06/2023
Last updated
03/06/2023
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