MEDICARE: DR. DEREK ALAN LANCE MD

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	207X00000X	Orthopaedic Surgery Physician	V6047	TX
2	207X00000X	Orthopaedic Surgery Physician	11997	GA

General Provider Information

NPI Number	:	1639794811
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. DEREK ALAN LANCE MD

Provider Business Mailing Address
First Line	:	6901 SNIDER PLZ STE 200
Second Line	:
City	:	DALLAS
State	:	TX
Zip	:	75205-5651
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	6901 SNIDER PLZ STE 200
Second Line	:
City	:	DALLAS
State	:	TX
Zip	:	75205-5651
Country	:	US
Telephone Number	:	214-369-7733
Fax Number	:

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

Provider Enumeration Date	:	06/12/2020
Last Update Date	:	03/19/2026

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Directions to “ DR. DEREK ALAN LANCE MD” Practice Location

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