Search › Florida › 204E00000X
Lance Grenevicki, MD, DDS, FACS
NPI 1255306866 · on the registry since 2006
Practice
- Address
- 1093 S Wickham Rd
The Institute Of Facial Surgery
West Melbourne, FL 32904 - Phone
- (321) 674-3900
- Fax
- (321) 722-3303
- Organisation at this address
- Institute Of Facial Surgery Inc
Inferred from a shared address, not stated in the registry.
Registry record
- Primary taxonomy
- 204E00000X
204E00000X
- Also registered as
- 208600000X
1223S0112X - Licence states on file
- FL
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2014-01-21
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Florida