Organization Active NPI

Andra G Lance

Doing business as Lance Family Medical

  • Family Medicine Physician
  • Jackson, OH
National Provider Identifier
1780847202
Registry record updated Aug 2, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
ANDRA G LANCE
Doing business as
Lance Family Medical
Practice address
212 Pearl St
Suite E
Jackson, OH 45640-1795
Phone
(740) 286-1822
NPI assigned
Jul 3, 2008
Last updated
Aug 2, 2010By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 2, 2010

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Andra Lance
Title
Owner/Office Manager
Phone
(740) 286-1822

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X NU Primary

Addresses

Primary practice location

212 Pearl St
Suite E
Jackson, OH 45640-1795

Mailing address

PO Box 984
Jackson, OH 45640-0984

Other names 1

  • LANCE FAMILY MEDICAL Doing business as

National Provider Directory

National Provider Directory

Locations

212 Pearl St
Ste E
Jackson, OH 45640
Phone (740) 286-1822

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1215043200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1280707200000",
    "number": "1780847202",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 984",
            "city": "JACKSON",
            "state": "OH",
            "postal_code": "456400984"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "212 PEARL ST",
            "address_2": "SUITE E",
            "city": "JACKSON",
            "state": "OH",
            "postal_code": "456401795",
            "telephone_number": "740-286-1822"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ANDRA G LANCE",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-07-03",
        "last_updated": "2010-08-02",
        "status": "A",
        "authorized_official_last_name": "LANCE",
        "authorized_official_first_name": "ANDRA",
        "authorized_official_title_or_position": "OWNER/OFFICE MANAGER",
        "authorized_official_telephone_number": "740-286-1822"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "LANCE FAMILY MEDICAL",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Jackson, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 2, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.