Provider Demographics
NPI:1043578388
Name:DOPPLER, LANCE JAY (DC)
Entity Type:Individual
Prefix:DR
First Name:LANCE
Middle Name:JAY
Last Name:DOPPLER
Suffix:
Gender:M
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:932 ASPEN ST
Mailing Address - Street 2:
Mailing Address - City:HELENA
Mailing Address - State:MT
Mailing Address - Zip Code:59601-0704
Mailing Address - Country:US
Mailing Address - Phone:407-443-5510
Mailing Address - Fax:
Practice Address - Street 1:932 ASPEN ST
Practice Address - Street 2:
Practice Address - City:HELENA
Practice Address - State:MT
Practice Address - Zip Code:59601-0704
Practice Address - Country:US
Practice Address - Phone:407-443-5510
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2012-04-24
Last Update Date:2012-04-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MTCHI-CHI-LIC-1840111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor