Black, Lance Michael

Black, Lance Michael is an individual health care provider with primary practice located at 307 Boatner Rd Suite 114, Eglin Afb FL 32542-1391. He recently has only one registered license in Student, Health Care / Student in an Organized Health Care Education/Training Program, which is considered as his primary health care specialty. Black, Lance Michael can be contacted via phone (850) 883-9624.

Contact Information

Primary practice address
307 Boatner Rd Suite 114 Eglin Afb FL 32542-1391
Phone: (850) 883-9624
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Student, Health Care / Student in an Organized Health Care Education/Training Program 390200000X

Profile Details

NPI number 1508957325
LBN Legal business name Black, Lance Michael
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 27th, 2006
Last updated Jul 8th, 2007 - about 17 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.

Request for update

Popular Providers