Grizzard, Lance A

Grizzard, Lance A is an individual health care provider with primary practice located at 8260 Atlee Rd , Mechanicsville VA 23116-1844. He recently has 2 registered licenses in different health care specialties including Nursing Service Providers / Registered Nurse, Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered. Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered is his primary health care specialty. Grizzard, Lance A can be contacted via phone (804) 288-6258.

Contact Information

Primary practice address
8260 Atlee Rd Mechanicsville VA 23116-1844
Phone: (804) 288-6258
Fax: (804) 282-9921
Website:
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Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Registered Nurse 163W00000X 0001154508 Virginia
Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered 367500000X 0024166429 Virginia

Profile Details

NPI number 1104814516
LBN Legal business name Grizzard, Lance A
Credentials Certified Registered Nurse Anesthetist (CRNA)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 10th, 2005
Last updated Jan 12th, 2018 - about 7 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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Identifiers

StateTypeNumberIssuer
All States NPI 1104814516 NPPES
Virginia MEDICAID 010163188

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