Lance Wayne Coleman
Plastic Surgeon (Head & Neck)
520 S Eagle Rd #1223
Meridian
, Idaho 83642-6308
Lance Wayne Coleman
Plastic Surgeon (Head & Neck)
520 S Eagle Rd #1223
Meridian
, Idaho 83642-6308
(208) 888-4368
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About
Features
Specialties
- Plastic Surgeon (Head & Neck)
Languages spoken
- English
Location
First Address
- Lance Wayne Coleman
- 520 S Eagle Rd #1223
- Meridian, ID
- Zip : 83642-6308
- Phone : (208) 888-4368
Second Address
- Lance Wayne Coleman
- 520 S Eagle Rd #1223
- Meridian, ID
- Zip : 83642-6308
- Phone : (208) 888-4368
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FAQs
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 207YX0007X | Plastic Surgeon (Head & Neck) | M7160 | ID |
National Provider Identifier
| NPI | 1548204589 |
|---|---|
| Provider Name | Lance Wayne Coleman |
| First Address | Meridian, ID 83642-6308 |
| Second Address | Meridian, ID 83642-6308 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | Yes |
| Is Organization Subpart | N/A |
| Enumeration Date | 16/06/2006 |
| Last Update Date | 25/10/2007 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| G54719 | (02) |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.