Individual
MELANIE A LANCE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1462 CLIFTON RD NE STE 280, ATLANTA, GA 30322-1000
(801) 694-8834
Mailing address
1462 CLIFTON RD NE STE 280, ATLANTA, GA 30322-1000
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
10906
GA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
08/28/2019
Last updated
04/06/2022
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