Lancer, Brian Alan

Lancer, Brian Alan is an individual health care provider with primary practice located at 3762 Durham Rd , Roxboro NC 27573-2741. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as his primary health care specialty. Lancer, Brian Alan can be contacted via phone (336) 330-0400.

Contact Information

Primary practice address
3762 Durham Rd Roxboro NC 27573-2741
Fax: (336) 330-0031
Website:

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 257390/5006904 North Carolina
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X F336824-1 New York

Profile Details

NPI number 1609155829
LBN Legal business name Lancer, Brian Alan
Credentials Family Nurse Practitioner (FNP)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 4th, 2011
Last updated Feb 1st, 2016 - about 8 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 1609155829 NPPES
New York MEDICAID 03539273

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