Organization
LAST RESORT PAIN TREATMENT CENTER LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. W LANCE MCKITRICK M.D., D.D.S. (OWNER)
(863) 709-8002
Entity
Organization
Contact information
Practice address
4406 S FLORIDA AVE, STE 16, LAKELAND, FL 33813-2172
(863) 709-8000
(863) 709-8002
Mailing address
4406 S FLORIDA AVE, STE 16, LAKELAND, FL 33813-2172
(863) 709-8000
(863) 709-8002
Taxonomy
Speciality
Code
Description
License number
State
207LP2900X
Pain Medicine (Anesthesiology) Physician
Primary
ME79018
FL
Other
Enumeration date
02/23/2007
Last updated
08/22/2020
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