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NPI Code Detail

MEDICARE: LANCE DOSS

MEDICARE: LANCE DOSS
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
1101YM0800XMental Health Counselor

General Provider Information

NPI Number : 1073025821
Entity Type Code : Individual
Provider Name (Legal Business Name) : LANCE DOSS
Provider Business Mailing Address
First Line : 7127 S DURANGO DR UNIT 202
Second Line :
City : LAS VEGAS
State : NV
Zip : 89113-2067
Country : US
Telephone Number : 858-231-1487
Fax Number :
Provider Business Practice Location Address
First Line : 7000 SPRING MOUNTAIN RD
Second Line :
City : LAS VEGAS
State : NV
Zip : 89117-3816
Country : US
Telephone Number : 858-952-2179
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 11/02/2017
Last Update Date : 11/02/2017

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Directions to “ LANCE DOSS ” Practice Location

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