Individual
LANCE M DICKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
875 OAK ST SE, STE 5070, SALEM, OR 97301-3975
(503) 561-8565
Mailing address
875 OAK ST SE STE 5070, SALEM, OR 97301-3975
(503) 561-8565
Taxonomy
Speciality
Code
Description
License number
State
207RN0300X
Nephrology Physician
Primary
MD27291
OR
Other
Enumeration date
04/18/2007
Last updated
07/08/2007
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