Bechtold, Lance Lee

Bechtold, Lance Lee is an individual health care provider with primary practice located at 1851 Mesquite Ave Ste 216 , Lake Havasu City AZ 86403-5681. He recently has only one registered license in Allopathic & Osteopathic Physicians / Nephrology, which is considered as his primary health care specialty. Bechtold, Lance Lee can be contacted via phone (928) 854-5358.

Contact Information

Primary practice address
1851 Mesquite Ave Ste 216 Lake Havasu City AZ 86403-5681
Fax: (928) 854-5365
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Nephrology 207RN0300X 58269 Arizona

Profile Details

NPI number 1336554070
LBN Legal business name Bechtold, Lance Lee
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 20th, 2014
Last updated Sep 25th, 2019 - 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 1336554070 NPPES
Arizona MEDICAID 517932

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