Provider Demographics
NPI:1568558062
Name:STEIN, LANCE L (MD)
Entity Type:Individual
Prefix:
First Name:LANCE
Middle Name:L
Last Name:STEIN
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Mailing Address - Street 1:1968 PEACHTREE RD NW
Mailing Address - Street 2:77 BUILDING, 6TH FLOOR
Mailing Address - City:ATLANTA
Mailing Address - State:GA
Mailing Address - Zip Code:30309-1281
Mailing Address - Country:US
Mailing Address - Phone:404-605-2055
Mailing Address - Fax:678-244-6608
Practice Address - Street 1:1968 PEACHTREE RD NW
Practice Address - Street 2:77 BUILDING, 6TH FLOOR
Practice Address - City:ATLANTA
Practice Address - State:GA
Practice Address - Zip Code:30309-1281
Practice Address - Country:US
Practice Address - Phone:404-605-2055
Practice Address - Fax:678-244-6608
Is Sole Proprietor?:No
Enumeration Date:2006-10-04
Last Update Date:2010-09-27
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Provider Licenses
StateLicense IDTaxonomies
GA56368207RT0003X, 207RG0100X, 207RI0008X, 207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RT0003XAllopathic & Osteopathic PhysiciansInternal MedicineTransplant Hepatology
No207RG0100XAllopathic & Osteopathic PhysiciansInternal MedicineGastroenterology
No207RI0008XAllopathic & Osteopathic PhysiciansInternal MedicineHepatology
No207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine