LANCE MICHAEL BLACK

EGLIN AFB, FL
NPI1508957325
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy390200000X Student in an Organized Health Care Education/Training Program
Enumeration Date2006-09-27
Last Update Date2007-07-08
Business Address
DR. LANCE MICHAEL BLACK M.D.
307 BOATNER RD SUITE 114
EGLIN AFB, FL 32542-1391
Phone number: 850-883-9624
Mailing Address
DR. LANCE MICHAEL BLACK M.D.
997 JOHN WAYNE CIR
FORT WALTON BEACH, FL 32547-4282
Phone number: 850-226-6439
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