Individual
DR. LANCE G. DASHER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1000 MEDICAL CENTER BLVD, LAWRENCEVILLE, GA 30046-7694
(678) 312-4440
Mailing address
1000 MEDICAL CENTER BLVD, LAWRENCEVILLE, GA 30046-7694
(678) 312-4440
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
064020
GA
2085R0202X
Diagnostic Radiology Physician
200701347
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
5907353
—
NC
05
—
955320224
—
GA
01
—
P00858090
RR MEDICARE
GA
Enumeration date
08/17/2007
Last updated
09/21/2012
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