Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207L00000X | Anesthesiologist | 0101236838 | VA |
Y | 207L00000X | Anesthesiologist | 2012-00146 | NC |
NPI | 1013932995 |
---|---|
Provider Name | Dr. Lance A. Roy |
First Address | Durham, NC 27713-4430 |
Second Address | Durham, NC 27705-3941 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 13/07/2006 |
Last Update Date | 22/05/2012 |