Barlas, Lance B

Barlas, Lance B is an sole proprietor health care provider with primary practice located at 167 Lynch Creek Way , Petaluma CA 94954-2343. He recently has only one registered license in Other Service Providers / Specialist, which is considered as his primary health care specialty. Barlas, Lance B can be contacted via phone (707) 763-4453.

Contact Information

Primary practice address
167 Lynch Creek Way Petaluma CA 94954-2343
Fax: (707) 763-5062
Website:

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Specialist 174400000X G40183 California

Profile Details

NPI number 1710980321
LBN Legal business name Barlas, Lance B
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date May 27th, 2005
Last updated Nov 30th, 2020 - about 5 years ago

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 1710980321 NPPES
California MEDICAID 00G401830

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