Montauk, Lance E.

Montauk, Lance E. is an individual health care provider with primary practice located at 513 Parnassus Ave , San Francisco CA 94143-2205. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Emergency Medicine, Allopathic & Osteopathic Physicians / Internal Medicine. Allopathic & Osteopathic Physicians / Emergency Medicine is his primary health care specialty. Montauk, Lance E. can be contacted via phone (415) 353-1238.

Contact Information

Primary practice address
513 Parnassus Ave San Francisco CA 94143-2205
Phone: (415) 353-1238
Fax: (415) 353-1799
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Emergency Medicine 207P00000X A44499 California
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X A44499 California

Profile Details

NPI number 1902862840
LBN Legal business name Montauk, Lance E.
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 20th, 2006
Last updated Jul 9th, 2007 - about 17 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 1902862840 NPPES
California MEDICAID 0A4449900

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