Provider Demographics
NPI:1548406945
Name:DOYLE, LANCE B (DC)
Entity Type:Individual
Prefix:DR
First Name:LANCE
Middle Name:B
Last Name:DOYLE
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 1:1050 W VANDAMENT AVE
Mailing Address - Street 2:
Mailing Address - City:YUKON
Mailing Address - State:OK
Mailing Address - Zip Code:73099-3877
Mailing Address - Country:US
Mailing Address - Phone:405-354-5753
Mailing Address - Fax:405-354-5828
Practice Address - Street 1:1050 W VANDAMENT AVE
Practice Address - Street 2:
Practice Address - City:YUKON
Practice Address - State:OK
Practice Address - Zip Code:73099-3877
Practice Address - Country:US
Practice Address - Phone:405-354-5753
Practice Address - Fax:405-354-5828
Is Sole Proprietor?:No
Enumeration Date:2009-01-06
Last Update Date:2012-03-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OK3911111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor