Individual
LANCE A KLOSTERMAN
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1301 SUNSET DR, STE 3, JOHNSON CITY, TN 37604-7906
(423) 926-4966
(423) 926-1823
Mailing address
1301 SUNSET DR, STE 3, JOHNSON CITY, TN 37604-7906
(423) 926-4966
(423) 926-1823
Taxonomy
Speciality
Code
Description
License number
State
2085R0204X
Vascular & Interventional Radiology Physician
Primary
37100
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
010113032
VIRGINIA MEDICARE
VA
05
—
3891508
—
TN
01
—
7906624
NORTH CAROLINA MEDICARE
NC
01
—
P00095924
RAILROAD MEDICARE
TN
Enumeration date
05/06/2006
Last updated
11/19/2025
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