MEDICARE: DR. LANCE LEE ARNDER M.D.

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
1	2085B0100X	Body Imaging Physician	9600827	NC
2	2085R0202X	Diagnostic Radiology Physician	9600827	NC
3	2085R0204X	Vascular & Interventional Radiology Physician	9600827	NC
4	2085R0202X	Diagnostic Radiology Physician	4853845-1205	UT

Medicare Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
4	P00690451	OTHER	NC	MEDICARE RAILROAD

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	02898	OTHER	NC	WORK COMP
2	150R6	OTHER	NC	BCBS
3	150R6	OTHER	NC	NC STATE BCBS
5	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
6	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
7	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
8	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1356340541
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. LANCE LEE ARNDER M.D.

Provider Business Mailing Address
First Line	:	PO DRAWER 1757
Second Line	:
City	:	GOLDSBORO
State	:	NC
Zip	:	27533
Country	:	US
Telephone Number	:	919-734-1866
Fax Number	:	919-736-1804

Provider Business Practice Location Address
First Line	:	2700 MEDICAL OFFICE PL
Second Line	:
City	:	GOLDSBORO
State	:	NC
Zip	:	27534-9460
Country	:	US
Telephone Number	:	919-734-1866
Fax Number	:	919-736-1804

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	07/19/2005
Last Update Date	:	11/04/2022

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Directions to “ DR. LANCE LEE ARNDER M.D.” Practice Location

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