Provider Demographics
NPI:1598420200
Name:COURTNEY, LANCE MORGAN II
Entity Type:Individual
Prefix:MR
First Name:LANCE
Middle Name:MORGAN
Last Name:COURTNEY
Suffix:II
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 1:41002 COUNTY CENTER DR STE A225
Mailing Address - Street 2:
Mailing Address - City:TEMECULA
Mailing Address - State:CA
Mailing Address - Zip Code:92591-6051
Mailing Address - Country:US
Mailing Address - Phone:951-600-6296
Mailing Address - Fax:
Practice Address - Street 1:41002 COUNTY CENTER DR STE A225
Practice Address - Street 2:
Practice Address - City:TEMECULA
Practice Address - State:CA
Practice Address - Zip Code:92591-6051
Practice Address - Country:US
Practice Address - Phone:951-600-6296
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2021-11-08
Last Update Date:2021-11-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes175T00000XOther Service ProvidersPeer Specialist