Individual
DR. LANCE ADAM COHEN
Active
Individual
DR. LANCE ADAM COHEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
24583
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000600845
ANTHEM
—
01
—
000023036Y
HUMANA ID
—
01
—
00533097
MEDICARE
KY
01
—
102109
SIHO
—
05
—
200937670
—
IN
01
—
3703234000
PASSPORT ADVANTAGE
—
01
—
50023051
PASSPORT PROVIDER ID
—
05
—
7100073560
—
KY
Enumeration date
04/14/2006
Last updated
10/12/2009
Update your record
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