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NPI Code Detail

MEDICARE: LANCE HAMLIN PA-C

MEDICARE:   LANCE  HAMLIN  PA-C
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
1363A00000XPhysician Assistant

General Provider Information

NPI Number : 1326099029
Entity Type Code : Individual
Provider Name (Legal Business Name) : LANCE HAMLIN PA-C
Provider Business Mailing Address
First Line : 1 MERCADO ST
Second Line : STE 200
City : DURANGO
State : CO
Zip : 81301-7300
Country : US
Telephone Number : 970-382-9500
Fax Number : 970-375-0007
Provider Business Practice Location Address
First Line : 1 MERCADO ST
Second Line : STE 200
City : DURANGO
State : CO
Zip : 81301-7300
Country : US
Telephone Number : 970-382-9500
Fax Number : 970-375-0007
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/15/2006
Last Update Date : 05/20/2016

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Directions to “ LANCE HAMLIN PA-C” Practice Location

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These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.