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1467865725 NPI number — LANCE DEROSS

NPI Number: 1467865725
Health Care Provider/Practitioner: LANCE DEROSS

Information about “1467865725” NPI (LANCE DEROSS) exists in 1467865725 in HTML format HTML  |  1467865725 in plain Text format TXT  |  1467865725 in PDF (Portable Document Format) PDF  |  1467865725 in an XML format XML  formats.

NPI Number : 1467865725 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1467865725",
    "EntityType": "Individual",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": "N",
    "IsOrgSubpart": null,
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": null,
    "LastName": "DEROSS",
    "FirstName": "LANCE",
    "MiddleName": null,
    "NamePrefix": null,
    "NameSuffix": null,
    "Credential": null,
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": null,
    "OtherFirstName": null,
    "OtherMiddleName": null,
    "OtherNamePrefix": null,
    "OtherNameSuffix": null,
    "OtherCredential": null,
    "OtherLastNameTypeCode": null,
    "FirstLineMailingAddress": "19131 WINDWARD WAY",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "COTTONWOOD",
    "MailingAddressStateName": "CA",
    "MailingAddressPostalCode": "96022-7914",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": null,
    "MailingAddressFaxNumber": null,
    "FirstLinePracticeLocationAddress": "2419 CASTILLO ST",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "SANTA BARBARA",
    "PracticeLocationAddressStateName": "CA",
    "PracticeLocationAddressPostalCode": "93105-4301",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "805-682-1731",
    "PracticeLocationAddressFaxNumber": null,
    "EnumerationDate": "06/04/2014",
    "LastUpdateDate": "06/03/2024",
    "NPIDeactivationReasonCode": null,
    "NPIDeactivationReason": null,
    "NPIDeactivationDate": null,
    "NPIReactivationDate": null,
    "GenderCode": "M",
    "Gender": "Male",
    "AuthorizedOfficialLastName": null,
    "AuthorizedOfficialFirstName": null,
    "AuthorizedOfficialMiddleName": null,
    "AuthorizedOfficialTitle": null,
    "AuthorizedOfficialNamePrefix": null,
    "AuthorizedOfficialNameSuffix": null,
    "AuthorizedOfficialCredential": null,
    "AuthorizedOfficialTelephoneNumber": null,
    "Taxonomies": {
      "Taxonomy": {
        "TaxonomyCode": "2086S0122X",
        "TaxonomyName": "Plastic and Reconstructive Surgery Physician",
        "LicenseNumber": "A194991",
        "LicenseNumberStateCode": "CA",
        "PrimaryTaxonomySwitch": "Y"
      }
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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