Individual
MR. LANCE C MCCORMACK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LCDP
Contact information
Practice address
1845 POST RD. SUITE #10N, WARWICK, RI 02886
(401) 737-4685
Mailing address
1845 POST RD. SUITE #10N, WARWICK, RI 02886
(401) 737-4685
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
CDP00439
RI
Other
Enumeration date
03/26/2013
Last updated
03/26/2013
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