Allen, Lance O.

Allen, Lance O. is an individual health care provider with primary practice located at 355 N Main St , Kanab UT 84741-3260. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Allen, Lance O. can be contacted via phone (435) 644-4100.

Contact Information

Primary practice address
355 N Main St Kanab UT 84741-3260
Fax: (435) 644-3366
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X MEDO8306 Alaska
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 362191-1204 Utah

Profile Details

NPI number 1609188713
LBN Legal business name Allen, Lance O.
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 6th, 2010
Last updated Jan 23rd, 2024 - about last year

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1609188713 NPPES
Alaska MEDICAID 1627681
Alaska Other K166413

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