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 |