Lance MD LLC

Primary specialty

Psychiatry PhysicianTaxonomy code 2084P0800X

License

MD00047571 Issued in WA

Legal business name

LANCE MD LLC

Practice address

12737 Bel Red Rd
200
Bellevue, WA 98005-2699

Phone

(206) 979-5361

NPI assigned

Oct 13, 2009

Organization subpart

No

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

Authorized official

Name

Kim Reno

Title

Credentialing/Billing

Phone

(425) 868-2921

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1255392000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1255392000000",
    "number": "1972838647",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12737 BEL RED RD",
            "address_2": "200",
            "city": "BELLEVUE",
            "state": "WA",
            "postal_code": "980052699",
            "telephone_number": "206-979-5361"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12737 BEL RED RD",
            "address_2": "200",
            "city": "BELLEVUE",
            "state": "WA",
            "postal_code": "980052699",
            "telephone_number": "206-979-5361"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LANCE MD LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-10-13",
        "last_updated": "2009-10-13",
        "status": "A",
        "authorized_official_last_name": "RENO",
        "authorized_official_first_name": "KIM",
        "authorized_official_title_or_position": "CREDENTIALING/BILLING",
        "authorized_official_telephone_number": "425-868-2921"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "WA",
            "license": "MD00047571",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Cheryl B Lamin, PH.D.
• Kay C Lamos, LAC
• Ellen Lampe, MD
• Julie L Lampson, PT
• Ming-Chih Lan
• Joanna Landes Bifone, LICSW
• Johanna Landrey
• Allisen Landry, PSY.D.
• Cory Lane, LMHCA, CDPT
• Daniel C.E. Lane, PA-C

• Psychiatry Physician in Bellevue, WA
• Providers in Bellevue, WA by specialty
• Psychiatry Physician in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 13, 2009; 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.