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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 ID1851539084
PAC ID by PECOS2264425669
Professional Enrollment IDI20040402001437
NameLANCE R WISSMAN
Medical School NameDR. WILLIAM M. SCHOLL COLLEGE OF PODIATRIC MEDICINE
Graduation Year1978
Primary SpecialtyPODIATRY
All secondary specialties
Organization Name
Group Practice PAC ID
Number of Group Practice members0
Address10015 W ROYAL OAK RD, , SUN CITY, AZ, 853513164
Hospital affiliation LBN
Graduation Year1978
Contact Number6235723454
Email Address[Show_Email_ID]
Phone Number[Show_Phone]
Website [Show_Website]