| NPI | 1740249523 |
|---|---|
| Professional Name | LANCE GORDON CLOUSE |
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: AR A004094) |
| Additional Taxonomies | 111N00000X Chiropractor (Licence: AR 1386) |
| Enumeration Date | 2006-03-21 |
| Last Update Date | 2019-07-18 |