| NPI | 1871868679 |
|---|---|
| Former Name | LANCE STRATTON |
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2085R0202X Radiology, Diagnostic Radiology (Licence: MI 4301502854) |
| Additional Taxonomies | 2085R0202X Radiology, Diagnostic Radiology (Licence: NC 2017-00531) |
| 2085R0202X Radiology, Diagnostic Radiology (Licence: HI MD-18995) | |
| Enumeration Date | 2012-03-13 |
| Last Update Date | 2020-09-02 |