Camacho, Lance William

Camacho, Lance William is an sole proprietor health care provider with primary practice located at 4102 Pinion Dr , United States Air Force Acad CO 80840-2502. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Medical, which is considered as his primary health care specialty. Camacho, Lance William can be contacted via phone (719) 333-6054.

Contact Information

Primary practice address
4102 Pinion Dr United States Air Force Acad CO 80840-2502
Phone: (719) 333-6054
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Medical 363AM0700X PA9109563 Florida
Physician Assistants & Advanced Practice Nursing Providers / Medical 363AM0700X PA08575 Texas

Profile Details

NPI number 1497084198
LBN Legal business name Camacho, Lance William
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Dec 9th, 2009
Last updated Aug 11th, 2021 - 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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