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Contact Information

LANCE RAY, MD
1607 PLANTATION ROAD
MOHAVE VALLEY, AZ86440
 Phone: 928-346-4679
 Fax: 928-346-4686
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Surgery

208600000X 02 Physician/General Surgery
Indicates primary specialty

NPI Profile & details for LANCE RAY · (Male)

NPI Number 1629103775
Status Active
Credentials MD
Entity Individual
Enumeration date 02/22/2007
Last updated 09/05/2008 - About 18 years ago
Sole proprietor 1 No
Identifiers
  • WA License # 12094
  • AZ Medicaid 306467
  • AZ Other 1669540316 BC/BS
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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