Montgomery, Robert Lance
Montgomery, Robert Lance is an individual health care provider with primary practice located at 24331 El Toro Rd Ste 200 , Laguna Woods CA 92637-3116. He recently has only one registered license in Allopathic & Osteopathic Physicians / Adult Reconstructive Orthopaedic Surgery, which is considered as his primary health care specialty. Montgomery, Robert Lance can be contacted via phone (949) 586-3200.Contact Information
Primary practice address
24331 El Toro Rd Ste 200
Laguna Woods CA 92637-3116
Phone: (949) 586-3200
Fax: (949) 900-2116
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Adult Reconstructive Orthopaedic Surgery | 207XS0114X | G65982 | California |
Profile Details
| NPI number | 1952304594 |
|---|---|
| LBN Legal business name | Montgomery, Robert Lance |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | May 27th, 2005 |
| Last updated | Jun 29th, 2020 - about 5 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 | 1952304594 | NPPES |
| California | MEDICAID | 00G659820 | |
| California | Other | 00G659820G89 | |
| California | Other | RR2000 33606 |
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