Organization
LANCE MD LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KIM RENO (CREDENTIALING/BILLING)
(425) 868-2921
Entity
Organization
Contact information
Practice address
12737 BEL RED RD, 200, BELLEVUE, WA 98005-2699
(206) 979-5361
Mailing address
12737 BEL RED RD, 200, BELLEVUE, WA 98005-2699
(206) 979-5361
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
MD00047571
WA
Other
Enumeration date
10/13/2009
Last updated
10/13/2009
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