Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
LANCE LEE GARDNER, P.T.
Active Sole ProprietorPhysical Therapy Assistant · RISING SUN, MD
Registration Details
- NPI Number
- 1710088141
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Sep 26, 2006 (19.611247742225 yrs)
- Last Updated
- Mar 15, 2024
- Licenses
-
PT015177 (PA)22795 (MD)
- Sole Proprietor
- Yes
Practice Information
- Address
-
52 RISING SUN TOWN CTRRISING SUN, MD, 219111902Browse MD providers · Browse ZIP 21911
- Phone
- 4106580100
- Primary Specialty
-
Physical Therapy Assistant
225100000X
- Additional Specialty
- Physical Therapy Assistant
Other Physical Therapy Assistant Providers in RISING SUN, MD
| Name | Credential | NPI |
|---|---|---|
| THOMAS BALLENGER | MSPT | 1174569511 |
| JUDITH BROWN | PT | 1427089861 |
| MR. ANTONIO EACDINE POMPONI | MPT CERT MDT | 1083727275 |
| FREDERICK EARL JENKINS III | — | 1194953729 |
| CHRISTOPHER J WAGNER | — | 1780908731 |
| JEFFREY MICHAEL VARI | D.P.T. | 1477868230 |
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.