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

LANCE DEAN, PTA

Active Sole Proprietor

LANCE DEAN, PTA is a Community Health Worker healthcare provider located in JANESVILLE, California. NPI 1295093268 is currently active in the NPPES registry. Verify at CMS.

Community Health Worker · JANESVILLE, CA

Registration Details

NPI Number
1295093268
Provider Type
Individual
Gender
Male
NPI Issued
Apr 27, 2012 (14.312416413191 yrs)
Last Updated
Apr 27, 2012
License
AT6521 (CA)
Sole Proprietor
Yes

Practice Information

Address
461-935 JANESVILLE GRADE
JANESVILLE, CA, 96114
Browse CA providers · Browse ZIP 96114
Phone
5302532123
Primary Specialty
Community Health Worker
172V00000X
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.