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1851409916
LANCE EVERETT WYATT
LOS ANGELES, CA
NPI
1851409916
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
208200000X Plastic Surgery
(Licence: CA G79180)
Enumeration Date
2006-08-29
Last Update Date
2007-07-08
Business Address
Mr. LANCE EVERETT WYATT M.D.
8631 W 3RD ST STE. 1130 EAST TOWER
LOS ANGELES, CA 90048-5901
Phone number: 310-855-8010
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Mailing Address
Mr. LANCE EVERETT WYATT M.D.
8631 W 3RD ST STE. 1130 EAST TOWER
LOS ANGELES, CA 90048-5901
Phone number: 310-855-8010
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