Edmonds, Lance Dustin

Edmonds, Lance Dustin is an individual health care provider with primary practice located at 101 Bodin Cir Mdts/Sgqx, Travis Afb CA 94535-1809. He recently has only one registered license in Allopathic & Osteopathic Physicians / Diagnostic Radiology, which is considered as his primary health care specialty. Edmonds, Lance Dustin can be contacted via phone (707) 423-7182.

Contact Information

Primary practice address
101 Bodin Cir Mdts/Sgqx Travis Afb CA 94535-1809
Phone: (707) 423-7182
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Diagnostic Radiology 2085R0202X 380515-1205 Utah
Allopathic & Osteopathic Physicians / Diagnostic Radiology 2085R0202X A108694 California

Profile Details

NPI number 1124214374
LBN Legal business name Edmonds, Lance Dustin
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 21st, 2007
Last updated Jul 5th, 2022 - about 2 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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