Edmonds, Lance Dustin
Edmonds, Lance Dustin is an individual health care provider with primary practice located at 101 Bodin Cir Mdts/Sgqx, Travis Afb CA 94535-1809. He recently has only one registered license in Allopathic & Osteopathic Physicians / Diagnostic Radiology, which is considered as his primary health care specialty. Edmonds, Lance Dustin can be contacted via phone (707) 423-7182.Contact Information
Primary practice address
101 Bodin Cir Mdts/Sgqx
Travis Afb CA 94535-1809
Phone: (707) 423-7182
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Diagnostic Radiology | 2085R0202X | 380515-1205 | Utah |
| Allopathic & Osteopathic Physicians / Diagnostic Radiology | 2085R0202X | A108694 | California |
Profile Details
| NPI number | 1124214374 |
|---|---|
| LBN Legal business name | Edmonds, Lance Dustin |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Sep 21st, 2007 |
| Last updated | Jul 5th, 2022 - about 4 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
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