Ray, Lance

Ray, Lance is an individual health care provider with primary practice located at 1607 Plantation Road , Mohave Valley AZ 86440. He recently has only one registered license in Allopathic & Osteopathic Physicians / Surgery, which is considered as his primary health care specialty. Ray, Lance can be contacted via phone (928) 346-4679.

Contact Information

Primary practice address
1607 Plantation Road Mohave Valley AZ 86440
Phone: (928) 346-4679
Fax: (928) 346-4686
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Surgery 208600000X 12094 Washington

Profile Details

NPI number 1629103775
LBN Legal business name Ray, Lance
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 22nd, 2007
Last updated Sep 5th, 2008 - 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 1629103775 NPPES
Arizona Other 1669540316 BC/BS
Arizona MEDICAID 306467 BC/BS

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