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NPI Code Detail

MEDICARE: LANCE FELDMAN M.D.

MEDICARE: LANCE FELDMAN 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
12084P0804XChild & Adolescent Psychiatry Physician39071SC
22084P0800XPsychiatry Physician39071SC
32084P0800XPsychiatry Physician57.015000OH

General Provider Information

NPI Number : 1972738458
Entity Type Code : Individual
Provider Name (Legal Business Name) : LANCE FELDMAN M.D.
Provider Business Mailing Address
First Line : 1 INDEPENDENCE PT
Second Line : SUITE 212
City : GREENVILLE
State : SC
Zip : 29615-4545
Country : US
Telephone Number : 864-797-6044
Fax Number :
Provider Business Practice Location Address
First Line : 10 PATEWOOD DR
Second Line : SUITE 130
City : GREENVILLE
State : SC
Zip : 29615-6317
Country : US
Telephone Number : 864-522-5550
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/27/2009
Last Update Date : 06/01/2026

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