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NPI Code Detail

MEDICARE: LANCE M COHEN

MEDICARE: LANCE M COHEN
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1174400000XSpecialistME57724FL

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1053461152
Entity Type Code : Individual
Provider Name (Legal Business Name) : LANCE M COHEN
Provider Business Mailing Address
First Line : 1330 S FORT HARRISON AVE
Second Line :
City : CLEARWATER
State : FL
Zip : 33756-3313
Country : US
Telephone Number : 727-441-3588
Fax Number : 727-461-1038
Provider Business Practice Location Address
First Line : 1330 S FORT HARRISON AVE
Second Line :
City : CLEARWATER
State : FL
Zip : 33756-3313
Country : US
Telephone Number : 727-441-3588
Fax Number : 727-461-1038
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/11/2007
Last Update Date : 09/02/2015

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Directions to “ LANCE M COHEN ” Practice Location

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