Provider Demographics
NPI:1598287609
Name:FRANK, LANCE (PT, DPT)
Entity Type:Individual
Prefix:
First Name:LANCE
Middle Name:
Last Name:FRANK
Suffix:
Gender:M
Credentials:PT, DPT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1145 ZONOLITE RD NE
Mailing Address - Street 2:STE 13
Mailing Address - City:ATLANTA
Mailing Address - State:GA
Mailing Address - Zip Code:30306-2017
Mailing Address - Country:US
Mailing Address - Phone:404-817-0900
Mailing Address - Fax:
Practice Address - Street 1:755 COMMERCE DR STE 712
Practice Address - Street 2:
Practice Address - City:DECATUR
Practice Address - State:GA
Practice Address - Zip Code:30030-2621
Practice Address - Country:US
Practice Address - Phone:404-907-4196
Practice Address - Fax:855-299-5872
Is Sole Proprietor?:No
Enumeration Date:2017-07-11
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GA0129402251X0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2251X0800XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistOrthopedic