Roberts, Lance S

Roberts, Lance S is an individual health care provider with primary practice located at 414 Paoli Pike , Malvern PA 19355-3311. He recently has only one registered license in Allopathic & Osteopathic Physicians / Physical Medicine & Rehabilitation, which is considered as his primary health care specialty. Roberts, Lance S can be contacted via phone (484) 596-5000.

Contact Information

Primary practice address
414 Paoli Pike Malvern PA 19355-3311
Phone: (484) 596-5000
Fax: (610) 296-4915
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Physical Medicine & Rehabilitation 208100000X OS006197L Pennsylvania

Profile Details

NPI number 1386616449
LBN Legal business name Roberts, Lance S
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 3rd, 2006
Last updated Jul 27th, 2015 - about 11 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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Identifiers

StateTypeNumberIssuer
All States NPI 1386616449 NPPES
Pennsylvania MEDICAID 0012028150004

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