Provider Demographics
NPI:1477861672
Name:SCOT E LANCE MD PA
Entity Type:Organization
Organization Name:SCOT E LANCE MD PA
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:SCOT
Authorized Official - Middle Name:E
Authorized Official - Last Name:LANCE
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:941-917-2345
Mailing Address - Street 1:1921 WALDEMERE ST
Mailing Address - Street 2:SUITE 801
Mailing Address - City:SARASOTA
Mailing Address - State:FL
Mailing Address - Zip Code:34239-2943
Mailing Address - Country:US
Mailing Address - Phone:941-917-2345
Mailing Address - Fax:941-917-2350
Practice Address - Street 1:1921 WALDEMERE ST
Practice Address - Street 2:SUITE 801
Practice Address - City:SARASOTA
Practice Address - State:FL
Practice Address - Zip Code:34239-2943
Practice Address - Country:US
Practice Address - Phone:941-917-2345
Practice Address - Fax:941-917-2350
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-09-22
Last Update Date:2010-10-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2086S0122XAllopathic & Osteopathic PhysiciansSurgeryPlastic and Reconstructive SurgeryGroup - Multi-Specialty