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General NPI Number Information
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NPI Number | 1821507864
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Entity Type | Organization
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Legal Business Name | DAVID M LANS DO PC
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Dates
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Enumeration Date | 09/21/2017
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Last Update Date | 01/14/2022
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Provider Practice Location Address
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Address Line | 838 PELHAMDALE AVE
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City | NEW ROCHELLE
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State | NY
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Zip | 10801-1032
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Country | US
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Telephone | 914-235-5577
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Fax | 914-235-7708
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Provider Business Mailing Address
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Address Line | 838 PELHAMDALE AVE
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City | NEW ROCHELLE
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State | NY
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Zip | 10801-1032
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Country | US
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Telephone | 914-235-5577
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Fax | 914-235-7708
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Authorized Official
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Title or Position | CHIEF MEDICAL OFFICER
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Name | DAVID M LANS
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Credential | DO
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Telephone | 914-235-5577
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207RR0500X
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Taxonomy Name | Rheumatology Physician
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License Number | 149715
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License Number State | NY
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