Seagren, Lance Randell

Seagren, Lance Randell is an individual health care provider with primary practice located at 2600 Greenbush St , Lafayette IN 47904-2477. He recently has only one registered license in Allopathic & Osteopathic Physicians / Emergency Medical Services, which is considered as his primary health care specialty. Seagren, Lance Randell can be contacted via phone (765) 448-8000.

Contact Information

Primary practice address
2600 Greenbush St Lafayette IN 47904-2477
Phone: (765) 448-8000
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Emergency Medical Services 207PE0004X 01029553A Indiana

Profile Details

NPI number 1043328495
LBN Legal business name Seagren, Lance Randell
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 27th, 2006
Last updated Jun 16th, 2009 - about 15 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 1043328495 NPPES
Indiana Other 000000592944 ANTHEM PROVIDER NUMBER
Indiana MEDICAID 100385510 ANTHEM PROVIDER NUMBER

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