Individual
DR. LANCE MOLLENHAUER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.C.
Contact information
Practice address
700 N. PINAL PARKWAY, FLORENCE, AZ 85132
(520) 868-3605
(480) 813-2987
Mailing address
PO BOX 2298, FLORENCE, AZ 85132-3043
(520) 868-3605
(480) 813-2987
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
8189
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
Z150398
PTAN
—
01
—
Z150399
PTAN
AZ
Enumeration date
03/21/2011
Last updated
04/11/2012
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