Lance O. Allen, D. O.
Individual provider Active NPI Family Medicine Physician · Kanab, UT
NPI 1609188713 · NPPES record last updated Apr 27, 2026
Key facts
- NPI
- 1609188713
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Family Medicine Physician 207Q00000X
- License
- 362191-1204 (UT)
- Practice address
- 355 N Main St
Kanab, UT 84741-3260 - Phone
- (435) 644-4100
- Fax
- (435) 644-3366
- NPI assigned
- Jul 6, 2010
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 28
Hospital & facility affiliations 7
Medicare Care Compare profile
- Specialty
- Emergency Medicine
- Education
- Other, 2008
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Emergency Physician Associates of Wisconsin SC
Kane County Human Resource Special Service District
Practice addresses (Care Compare)
125 Hospital Dr
Watertown, WI 53098-3303
Phone (920) 261-4210
355 N Main St
Kanab, UT 84741-3260
Phone (435) 644-4115
Hospital & facility affiliations
- Marshfield Medical Center - Eau Claire
- Aspirus Riverview Hospital & Clinics Inc
- Kane County Hospital
- Watertown Memorial Hospital
- Marshfield Medical Center - Rice Lake
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled (2 enrollments) in UT, WI
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20111005000656 | UT | Practitioner - Family Practice | 2264604784 | Reassigns benefits to 2 organizations |
| I20241204000239 | WI | Practitioner - Emergency Medicine |
2264604784 | Reassigns benefits to 13 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MEDO8306 | AK | MD | Family Medicine Physician |
| 362191-1204 | UT | MD | Family Medicine Physician |
| 8306 | AK | MD | Surgery Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Aspirus Riverview Hospital & Clinics, Inc. | Emergency Medicine | Current |
Accepting new patients |
| Flambeau Hospital Inc | Current |
Accepting new patients | |
| Lakeview Medical Center Inc of Rice Lake | Current |
Accepting new patients | |
| Kane County Human Resource Special Service District | Current | Accepting new patients | |
| Revere Health PC | Current |
Accepting new patients | |
| Marshfield Clinic Inc | Current |
Accepting new patients | |
| Memorial Hospital Inc | Current |
Accepting new patients | |
| MCHS Hospitals Inc | Current | Accepting new patients | |
| MCHS Hospitals, Inc. | Current |
Accepting new patients | |
| Kane County Human Resource Special Service District | Current |
Accepting new patients | |
| Emergency Physician Associates of Wisconsin SC | Emergency Medicine | Current |
Accepting new patients |
| MCHS Hospitals Inc | Current |
Accepting new patients | |
| Aspirus Riverview Hospital & Clinics, Inc. | Current |
Accepting new patients | |
| Beaver Dam Community Hospitals Inc | Current |
Accepting new patients | |
| Kane County Human Resource Special Service District | Current |
Accepting new patients | |
| Lakeview Medical Center Inc of Rice Lake | Current |
Accepting new patients | |
| Beaver Dam Community Hospitals Inc | Current |
Accepting new patients | |
| Revere Health PC | Current |
Accepting new patients | |
| MCHS Hospitals Inc | Emergency Medicine | Current | Accepting new patients |
| Flambeau Hospital Inc | Current |
Accepting new patients | |
| Kane County Human Resource Special Service District | Past | Accepting new patients |
Locations
29980 Network Pl
Chicago, IL 60673
700 S Highway 99
Ste 3
Fillmore, UT 84631
Phone (435) 743-5555
355 N Main St
Kanab, UT 84741
Phone (435) 644-4100
1055 N 500 W
Provo, UT 84604
Phone (801) 429-8000
1055 N 500 W
Ste 212
Provo, UT 84604
Phone (801) 374-2362
1380 E Medical Center Dr
St George, UT 84790
Phone (435) 251-2992
705 S University Ave
Beaver Dam, WI 53916
Phone (920) 885-6090
3501 Golf Rd
Eau Claire, WI 54701
Phone (715) 858-4200
2116 Craig Rd
Eau Claire, WI 54701
Phone (715) 858-4500
1000 N Oak Ave
Marshfield, WI 54449
Phone (715) 387-5111
135 S Gibson St
Medford, WI 54451
Phone (715) 748-8100
1102 S Center Ave
Merrill, WI 54452
Phone (715) 536-3399
N3708 River Ave
Neillsville, WI 54456
Phone (715) 743-3101
1700 W Stout St
Rice Lake, WI 54868
Phone (715) 236-6133
125 Hospital Dr
Watertown, WI 53098
Phone (920) 261-4210
420 Dewey St
Wisconsin Rapids, WI 54494
Phone (715) 421-7474
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | MEDO8306 | AK | |
| Emergency Medicine Physician | 207P00000X | 81778 | WI | |
| Family Medicine Physician | 207Q00000X | 362191-1204 | UT | Yes |
Addresses
Primary practice location
355 N Main St
Kanab, UT 84741-3260
Mailing address
1055 N 500 W
Attn Credentialing
Provo, UT 84604
Phone (801) 354-8225
Other practice location 1
417 First Avenue
Seward, AK 99664
Phone (907) 224-2273
Other practice location 2
2116 Craig Rd
Eau Claire, WI 54701-6118
Phone (715) 858-4610
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| K166413 | Other | AK | MEDICARE PTAN |
| 1627681 | Medicaid | AK |
Electronic endpoints
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| CONNECT URL | https://ak.myonlinechart.org/affiliate/ | Direct | |
| Direct Messaging Address | medreview@reverehealth.com | Central Utah Clinic, P.C. |
Other providers in Kanab, UT
- Advantage Medical Supply, Inc.
- Stuart K Allan
- Alpine Home Medical Equipment LLC
- Amv Mountain Land LC
- Karl John Armstrong
- Morgan Barton
- Jill Glazier Blasdell
All providers in Kanab, UT · Family Medicine Physician in Utah
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Apr 27, 2026. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.