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NPI Code Detail

MEDICARE: LANCE C GUYETT ACNP

MEDICARE: LANCE C GUYETT ACNP
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
1363L00000XNurse PractitionerF430229NY

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
100027207101OTHERNYUNIVERA
2000560947001OTHERNYBLUE CORSS COMM BLUE
39512945OTHERNYINDEP HEALTH

General Provider Information

NPI Number : 1598748774
Entity Type Code : Individual
Provider Name (Legal Business Name) : LANCE C GUYETT ACNP
Provider Business Mailing Address
First Line : 6460 MAIN ST
Second Line :
City : WILLIAMSVILLE
State : NY
Zip : 14221-5838
Country : US
Telephone Number : 716-634-5100
Fax Number : 716-634-5134
Provider Business Practice Location Address
First Line : 6460 MAIN ST
Second Line :
City : WILLIAMSVILLE
State : NY
Zip : 14221-5838
Country : US
Telephone Number : 716-634-5100
Fax Number : 716-634-5134
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 11/22/2005
Last Update Date : 04/07/2008

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Directions to “ LANCE C GUYETT ACNP” Practice Location

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