Individual
LANCE A PICKRELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
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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