MICHAEL DALE LANCE

LOUISVILLE, KY
NPI1063032001
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy367500000X Nurse Anesthetist, Certified Registered
(Licence: KY  3014694)
Enumeration Date2020-04-20
Last Update Date2020-08-05
Business Address
Mr. MICHAEL DALE LANCE CRNA
530 S JACKSON ST
LOUISVILLE, KY 40202-1675
Phone number: 502-852-1735
Mailing Address
Mr. MICHAEL DALE LANCE CRNA
PO BOX 909
LOUISVILLE, KY 40201-0909
Phone number: 502-588-0328
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LOUISVILLE GASTROENTEROLOGY ASSOCIATES, PLLC