Healthcare Provider Details

I. General information

NPI: 1538782495
Provider Name (Legal Business Name): LANCE WORKMAN DO
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/26/2020
Last Update Date: 08/13/2025
Certification Date: 08/13/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

830 W HIGH ST STE 360
LIMA OH
45801-3985
US

IV. Provider business mailing address

830 W HIGH ST STE 360
LIMA OH
45801-3985
US

V. Phone/Fax

Practice location:
  • Phone: 419-227-7117
  • Fax: 419-227-2848
Mailing address:
  • Phone: 419-227-7117
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code390200000X
TaxonomyStudent in an Organized Health Care Education/Training Program
License Number5151014489
License Number StateMI
# 2
Primary TaxonomyY
Taxonomy Code208600000X
TaxonomySurgery Physician
License Number34.018099
License Number StateOH

VII. Legacy identifiers

For crosswalk purposes, the following legacy (non-NPI) identifiers are available for this provider:

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: