Grenevicki, Lance Francis
Grenevicki, Lance Francis is an individual health care provider with primary practice located at 1093 S Wickham Rd The Institute Of Facial Surgery, West Melbourne FL 32904-1652. He recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Oral & Maxillofacial Surgery, Allopathic & Osteopathic Physicians / Surgery, Dental Providers / Oral and Maxillofacial Surgery. Allopathic & Osteopathic Physicians / Oral & Maxillofacial Surgery is his primary health care specialty. Grenevicki, Lance Francis can be contacted via phone (321) 674-3900.Contact Information
Primary practice address
1093 S Wickham Rd The Institute Of Facial Surgery
West Melbourne FL 32904-1652
Phone: (321) 674-3900
Fax: (321) 722-3303
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Oral & Maxillofacial Surgery | 204E00000X | ME77063 | Florida |
Allopathic & Osteopathic Physicians / Surgery | 208600000X | ME77063 | Florida |
Dental Providers / Oral and Maxillofacial Surgery | 1223S0112X | DN15027 | Florida |
Profile Details
NPI number | 1255306866 |
---|---|
LBN Legal business name | Grenevicki, Lance Francis |
Credentials | MD, DDS, FACS |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Feb 18th, 2006 |
Last updated | Jan 21st, 2014 - 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.
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