Goodall, Lance Allen
Goodall, Lance Allen is an individual health care provider with primary practice located at 1075 N Center Point Rd , Hiawatha IA 52233-1231. He recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as his primary health care specialty. Goodall, Lance Allen can be contacted via phone (319) 743-1440.Contact Information
Primary practice address
1075 N Center Point Rd
Hiawatha IA 52233-1231
Phone: (319) 743-1440
Fax: (319) 743-1444
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Pediatrics | 208000000X | 40645 | Iowa |
Profile Details
| NPI number | 1578792321 |
|---|---|
| LBN Legal business name | Goodall, Lance Allen |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 14th, 2009 |
| Last updated | Jan 26th, 2013 - about 11 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1578792321 | NPPES |
| Iowa | MEDICAID | 1578792321 |
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