Individual
DR. LANCE ADAM COHEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D
Contact information
Practice address
20701 N SCOTTSDALE RD, #107-499, SCOTTSDALE, AZ 85255-6413
(602) 980-1009
(480) 563-4709
Mailing address
22025 N 79TH PL, SCOTTSDALE, AZ 85255-4893
(480) 563-4706
(480) 563-4709
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
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