Hamilton, Lance Lee
Hamilton, Lance Lee is an individual health care provider with primary practice located at 2618 Se J St Ste 12, Bentonville AR 72712-3857. He recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as his primary health care specialty. Hamilton, Lance Lee can be contacted via phone (479) 715-6505.Contact Information
Primary practice address
2618 Se J St Ste 12
Bentonville AR 72712-3857
Phone: (479) 715-6505
Fax: (479) 340-0015
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | N8166 | Arkansas |
Profile Details
| NPI number | 1053309898 |
|---|---|
| LBN Legal business name | Hamilton, Lance Lee |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Oct 6th, 2005 |
| Last updated | Dec 17th, 2019 - about 7 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1053309898 | NPPES |
| Arkansas | MEDICAID | 121148001 | |
| Arkansas | MEDICAID | 121148801 | |
| Arkansas | MEDICAID | 100125440A |
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