Individual
DR. LANCE E BUSCH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
255 BAPTIST BLVD, SUITE 302, COLUMBUS, MS 39705
(662) 327-3195
(662) 243-1070
Mailing address
255 BAPTIST BLVD, SUITE 302, COLUMBUS, MS 39705
(662) 327-3195
(662) 243-1070
Taxonomy
Speciality
Code
Description
License number
State
207RP1001X
Pulmonary Disease Physician
Primary
13124
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00110314
—
MS
Enumeration date
01/19/2007
Last updated
07/08/2007
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