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Lance Derosier

NPI 1588333876 · on the registry since 2021

Practice

Address
300 N Short St
Fairchild Afb, WA 99011
Phone
(425) 501-9301

Registry record

Primary taxonomy
1710I1003X
1710I1003X
Sex
Male
Record last updated
2021-09-09

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 Washington