Individual
DR. STEPHAN LANCE FORSTOT
Active
Individual
DR. STEPHAN LANCE FORSTOT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
20155
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01201557
—
CO
01
—
180014204
RAILROAD MEDICARE
—
01
—
920683020788
BLOCK VISION EYE SPECIALI
—
01
—
FOB4528
BLUE CROSS BLUE SHIELD
—
Enumeration date
08/30/2005
Last updated
01/16/2024
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