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Physician Compare National (NPI:1588665228)

HEALTHCARE PROVIDER: LANCE A SLOAN MD

Physician Compare National contains general information about individual eligible professionals (EPs) such as demographic information and Medicare quality program participation.

Individual Professional Information

NPI 1588665228
Unique healthcare provider (clinician) ID assigned by NPPES
PECOS UID 8628022506
Unique individual clinician ID assigned by PECOS
Professional Enrollment ID I20050308001206
Unique ID for the individual professional enrollment that is the source for the data in the observation
Provider Last Name SLOAN
Individual professional last name
Provider First Name LANCE
Individual professional first name
Provider Middle Name A
Individual professional middle name
Provider Gender M
The provider's gender if the provider is a person.
Provider Credential Text MD
The abbreviations for professional degrees or credentials used or held by the provider, if the provider is an individual. Examples are MD, DDS, CSW, CNA, AA, NP, RNA, or PSY. These credential designations will not be verified by NPS.

Medical School Information

Medical School Name UNIVERSITY OF TEXAS MEDICAL SCHOOL AT HOUSTON
Individual professional's medical school
Graduation Year 1985
Individual professional's medical school graduation year
Primary Specialty ENDOCRINOLOGY
Primary medical specialty reported by the individual professional in the selected enrollment
Secondary Specialty 1 NEPHROLOGY
First secondary medical specialty reported by the individual professional in the selected enrollment
All Secondary Specialties NEPHROLOGY
All four secondary specialties reported by the individual professional in the selected enrollment, separated by commas

Practice Information

Line 1 Street Address 1520 W FRANK AVE
Group Practice or individual's line 1 address
City LUFKIN
Group Practice or individual's city
State TX
Group Practice or individual's state
Zip Code 759043314
Group Practice or individual's zip code (9 digits when available)

Hospital(s) Affiliation Information

Hospital Affiliation CCN 1 450484
Medicare CCN of hospital where individual professional provides service 1
Hospital Affiliation LBN 1 WOODLAND HEIGHTS MEDICAL CENTER
Legal business name of hospital where individual professional provides service 1
Hospital Affiliation CCN 2 450211
Medicare CCN of hospital where individual professional provides service 2
Hospital Affiliation LBN 2 CHI ST LUKES HEALTH MEMORIAL LUFKIN
Legal business name of hospital where individual professional provides service 2
Hospital Affiliation CCN 3 451360
Medicare CCN of hospital where individual professional provides service 3
Hospital Affiliation LBN 3 MEMORIAL MEDICAL CENTER SAN AUGUSTINE
Legal business name of hospital where individual professional provides service 3
Hospital Affiliation CCN 4 450460
Medicare CCN of hospital where individual professional provides service 4
Hospital Affiliation LBN 4 TYLER COUNTY HOSPITAL
Legal business name of hospital where individual professional provides service 4
Hospital Affiliation CCN 5 450573
Medicare CCN of hospital where individual professional provides service 5
Hospital Affiliation LBN 5 CHRISTUS JASPER MEMORIAL HOSPITAL
Legal business name of hospital where individual professional provides service 5
Professional Accepts Medicare Assignment Y

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