Provider Demographics
NPI:1578202362
Name:BARNARD, LANCE
Entity Type:Individual
Prefix:
First Name:LANCE
Middle Name:
Last Name:BARNARD
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:15896 W 60TH CIR
Mailing Address - Street 2:
Mailing Address - City:GOLDEN
Mailing Address - State:CO
Mailing Address - Zip Code:80403-2681
Mailing Address - Country:US
Mailing Address - Phone:973-747-7216
Mailing Address - Fax:
Practice Address - Street 1:6590 HOLMAN ST UNIT 203
Practice Address - Street 2:
Practice Address - City:ARVADA
Practice Address - State:CO
Practice Address - Zip Code:80004-3506
Practice Address - Country:US
Practice Address - Phone:303-420-7979
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-06-01
Last Update Date:2022-06-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
COPHATP.0009764183700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183700000XPharmacy Service ProvidersPharmacy Technician