Provider Demographics
NPI:1265760615
Name:MELTZER, LANCE M (DC)
Entity type:Individual
Prefix:DR
First Name:LANCE
Middle Name:M
Last Name:MELTZER
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:PO BOX 10794
Mailing Address - Street 2:
Mailing Address - City:NAPA
Mailing Address - State:CA
Mailing Address - Zip Code:94581-2794
Mailing Address - Country:US
Mailing Address - Phone:707-738-4107
Mailing Address - Fax:
Practice Address - Street 1:2485 STOCKTON ST
Practice Address - Street 2:
Practice Address - City:NAPA
Practice Address - State:CA
Practice Address - Zip Code:94559-3143
Practice Address - Country:US
Practice Address - Phone:707-738-4107
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2009-11-23
Last Update Date:2009-11-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CADC15314111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor