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LANCE R WISSMAN
DR. WILLIAM M. SCHOLL COLLEGE OF PODIATRIC MEDICINE
LANCE R WISSMAN is physician registered in the Centers for Medicare & Medicaid Services (CMS). The National Provider Identifier (NPI) of the National Plan and Provider Enumeration System (NPPES) is 1851539084. The unique individual professional ID assigned by Provider Enrollment, Chain, and Ownership System (PECOS) is 2264425669. The primary specialty is PODIATRY. The organization is . The address is 10015 W ROYAL OAK RD, , SUN CITY, AZ, 853513164. The zip code is 853513164.
|Nation Provider ID||1851539084|
|PAC ID by PECOS||2264425669|
|Professional Enrollment ID||I20040402001437|
|Name||LANCE R WISSMAN|
|Medical School Name||DR. WILLIAM M. SCHOLL COLLEGE OF PODIATRIC MEDICINE|
|All secondary specialties|
|Group Practice PAC ID|
|Number of Group Practice members||0|
|Address||10015 W ROYAL OAK RD, , SUN CITY, AZ, 853513164|
|Hospital affiliation LBN|