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Individual

LAWRENCE EDWIN CHANCE JR.

Active
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Individual

LAWRENCE EDWIN CHANCE JR.

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Taxonomy

Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
3780
AK

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
242390
AZ
05
45826226
CO
05
63250233
NM
05
MD3780
AK
Enumeration date
01/12/2007
Last updated
03/31/2008
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