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NPI Code Detail

MEDICARE: DR. LEE ANNE SPRANCE MD

MEDICARE: DR. LEE ANNE SPRANCE 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
1208600000XSurgery Physician35067325SOH

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1962494468
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. LEE ANNE SPRANCE MD
Provider Business Mailing Address
First Line : 155 5TH ST NE
Second Line : PARKVIEW CENTER
City : BARBERTON
State : OH
Zip : 44203-3332
Country : US
Telephone Number : 330-753-6717
Fax Number : 330-615-4161
Provider Business Practice Location Address
First Line : 155 5TH ST NE
Second Line : PARKVIEW CENTER
City : BARBERTON
State : OH
Zip : 44203-3332
Country : US
Telephone Number : 330-753-6717
Fax Number : 330-615-4161
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/19/2005
Last Update Date : 01/19/2017

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