Individual
LANCE K DYESS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
252 LARKIN RD STE A, ELBA, AL 36323-5102
(334) 897-2207
(334) 853-0128
Mailing address
252 LARKIN RD STE A, ELBA, AL 36323-5102
(334) 897-2207
(334) 853-0128
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
00010790
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
009918640
—
AL
Enumeration date
11/21/2005
Last updated
10/30/2018
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