| NPI | 1902061542 |
|---|---|
| Other Name | LANCE JUSTICE |
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: AL DO.1174) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: OK 4652) |
| Enumeration Date | 2008-07-23 |
| Last Update Date | 2024-06-25 |