Siegel, Lance Mitchell
Siegel, Lance Mitchell is an individual health care provider with primary practice located at 1246 E Arrow Hwy Ste A, Upland CA 91786-4955. He recently has only one registered license in Allopathic & Osteopathic Physicians / Ophthalmology, which is considered as his primary health care specialty. Siegel, Lance Mitchell can be contacted via phone (909) 931-9675.Contact Information
Primary practice address
1246 E Arrow Hwy Ste A
Upland CA 91786-4955
Phone: (909) 931-9675
Fax: (909) 931-3239
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Ophthalmology | 207W00000X | G72351 | California |
Profile Details
| NPI number | 1629044185 |
|---|---|
| LBN Legal business name | Siegel, Lance Mitchell |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Feb 24th, 2006 |
| Last updated | Feb 17th, 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1629044185 | NPPES |
| California | MEDICAID | 00G723510 |
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