Individual
LANCE A PICKRELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
422 POPLAR ST, TERRE HAUTE, IN 47807-4209
(812) 242-3700
(812) 234-3565
Mailing address
221 S 6TH ST, TERRE HAUTE, IN 47807-4214
(812) 242-3700
(812) 234-3565
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
01030052A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000089613
ANTHEM
—
01
—
01419
CIGNA
—
01
—
0182814
US DEPT OF LABOR
—
05
—
100251650
—
IN
01
—
100251650D
MOLINA HEALTHCARE MCAID
IN
01
—
118392
HEALTHLINK
—
01
—
180018771
RAILROAD MCARE PALAMETTO
—
01
—
351904269190
CARESOURCE MEDICAID
—
01
—
4062089
AETNA
—
01
—
I017569C002
UNISYS CHAMPUS SECONDARY
—
01
—
N286520
HARMONY HEALTH PLAN IND
—
01
—
P00844288
RAILROAD MEDICARE
IN
Enumeration date
08/29/2006
Last updated
10/15/2010
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