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General NPI Number Information
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NPI Number | 1639120793
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Entity Type | Individual
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Provider Name | LANCE KING LASSITER MD
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Gender | Male
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Dates
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Enumeration Date | 05/13/2006
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Last Update Date | 05/08/2025
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Provider Practice Location Address
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Address Line | 816 S 5TH ST
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City | MONTROSE
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State | CO
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Zip | 81401-5765
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Country | US
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Telephone | 970-497-8001
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Fax | 970-240-7793
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Provider Business Mailing Address
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Address Line | PO BOX 60447
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City | CHARLOTTE
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State | NC
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Zip | 28260-0447
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Country | US
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Telephone | 704-384-7680
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207RH0003X
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Taxonomy Name | Hematology & Oncology Physician
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License Number | 200401251
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License Number State | NC
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Taxonomy #2
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Taxonomy Code | 207RH0003X
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Taxonomy Name | Hematology & Oncology Physician
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License Number | DR.0074270
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License Number State | CO
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