Lance Mitchell

NPI 1720486269 - Developmental Therapist - 222Q00000X

NPI Details
NPI 1720486269
Gender Male
Enumeration Date 12/16/2014
Last Updated 12/16/2014
Entity Type Individual
Active Over 1 year ago
Practice Location
345 GREENWOOD ST
WORCESTER MA, 01607, US
Phone (508) 363-0200
Fax
Business Location
345 GREENWOOD ST
WORCESTER MA, 01607, US
Phone (508) 363-0200
Fax
Toxanomy
Taxonomy Code 222Q00000X
License State
License Number
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According to our database, Lance Mitchell NPI is 1720486269, taxonomy code is 222Q00000X Lance Mitchell physically located at 345 Greenwood St, Worcester MA, 01607. NPI Number Lance Mitchell has the Individual type.

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1720486269 NPI number is provided on an as is basis without warranty of any kind. 1720486269 is maintained by the National Plan & Provider Enumeration System. The contents of Lance Mitchell are for informational purposes only.