Provider Demographics
NPI:1073965521
Name:SPRINGFIELD, LANCE CHAU (PHARMD)
Entity Type:Individual
Prefix:DR
First Name:LANCE
Middle Name:CHAU
Last Name:SPRINGFIELD
Suffix:
Gender:M
Credentials:PHARMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:10019 SIFTON CT
Mailing Address - Street 2:
Mailing Address - City:JACKSONVILLE
Mailing Address - State:FL
Mailing Address - Zip Code:32246-1859
Mailing Address - Country:US
Mailing Address - Phone:904-236-0492
Mailing Address - Fax:
Practice Address - Street 1:10019 SIFTON CT
Practice Address - Street 2:
Practice Address - City:JACKSONVILLE
Practice Address - State:FL
Practice Address - Zip Code:32246-1859
Practice Address - Country:US
Practice Address - Phone:904-236-0492
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2016-07-08
Last Update Date:2016-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLPS54961183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist