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

LANCE WILLIAM CAMACHO, PA-C

Active Sole Proprietor

LANCE WILLIAM CAMACHO, PA-C is a Medical Physician Assistant healthcare provider located in UNITED STATES AIR FORCE ACAD, Colorado. NPI 1497084198 is currently active in the NPPES registry. Verify at CMS.

Medical Physician Assistant · UNITED STATES AIR FORCE ACAD, CO

Registration Details

NPI Number
1497084198
Provider Type
Individual
Gender
Male
NPI Issued
Dec 9, 2009 (16.721979110427 yrs)
Last Updated
Aug 11, 2021
Licenses
PA9109563 (FL)
PA08575 (TX)
Sole Proprietor
Yes

Practice Information

Address
4102 PINION DR
UNITED STATES AIR FORCE ACAD, CO, 808402502
Browse CO providers · Browse ZIP 80840
Phone
7193336054
Primary Specialty
Medical Physician Assistant
363AM0700X
Additional Specialty
Medical Physician Assistant
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.