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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

LANCE GATOR GAULT, D.O.

Active Sole Proprietor

LANCE GATOR GAULT, D.O. is a Family Medicine healthcare provider located in CLOVIS, California. NPI 1164615811 is currently active in the NPPES registry. Verify at CMS.

Family Medicine · CLOVIS, CA

Registration Details

NPI Number
1164615811
Provider Type
Individual
Gender
Male
NPI Issued
Aug 24, 2007 (18.980113772611 yrs)
Last Updated
Jan 19, 2022
License
20A10128 (CA)
Sole Proprietor
Yes

Practice Information

Address
2740 HERNDON AVE
CLOVIS, CA, 936116813
Browse CA providers · Browse ZIP 93611
Phone
5592992608
Fax
5592991341
Primary Specialty
Family Medicine
207Q00000X

Other Family Medicine Providers in CLOVIS, CA

Name Credential NPI
DR. TIMOTHY J ROTH D.O. 1144213604
KEVIN WINGERT M.D. 1083608301
JAMES LEE MINTON MD 1588659049
MR. DANIEL BORGSTADT M.D. 1457332330
MR. DENNIS NAKATA M.D. 1962483834
DR. JEFFREY AOKI M.D. 1760463624
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.