Search › Idaho › 363AM0700X
Lance Port, PA-C
NPI 1578222188 · on the registry since 2021
Practice
- Address
- 103 S Daisy St
Salmon, ID 83467 - Phone
- (208) 756-6212
Registry record
- Primary taxonomy
- 363AM0700X
363AM0700X
- Sex
- Male
- Record last updated
- 2021-12-10
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 Idaho