Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
LANCE WESLEY PORT, PA-C
ActiveLANCE WESLEY PORT, PA-C is a Medical Physician Assistant healthcare provider located in SALMON, Idaho. NPI 1578222188 is currently active in the NPPES registry. Verify at CMS.
Medical Physician Assistant · SALMON, ID
Registration Details
- NPI Number
- 1578222188
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Dec 10, 2021 (4.7228548305335 yrs)
- Last Updated
- Dec 10, 2021
Practice Information
- Address
-
103 S DAISY STSALMON, ID, 83467Browse ID providers · Browse ZIP 83467
- Phone
- 2087566212
- Primary Specialty
-
Medical Physician Assistant
363AM0700X
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.