MEDICARE: LANCE A BAILEY D.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
1	111N00000X	Chiropractor	3495	OK

General Provider Information

NPI Number	:	1790845220
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	LANCE A BAILEY D.C.

Provider Business Mailing Address
First Line	:	502 E 4TH ST
Second Line	:
City	:	BARTLESVILLE
State	:	OK
Zip	:	74003-3905
Country	:	US
Telephone Number	:	918-695-8535
Fax Number	:

Provider Business Practice Location Address
First Line	:	502 E 4TH ST
Second Line	:
City	:	BARTLESVILLE
State	:	OK
Zip	:	74003-3905
Country	:	US
Telephone Number	:	918-695-8535
Fax Number	:

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

Provider Enumeration Date	:	12/12/2006
Last Update Date	:	01/08/2025

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Directions to “ LANCE A BAILEY D.C.” Practice Location

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