Search › Minnesota › 101YP2500X
Lance Petschl, LADC
NPI 1801495528 · on the registry since 2020 · sole proprietor
Practice
- Address
- 1404 Central Ave Ne
Minneapolis, MN 55413 - Phone
- (612) 286-0525
- Clinicians at this address
- 34
Registry record
- Primary taxonomy
- 101YP2500X
101YP2500X
- Also registered as
- 101YA0400X
- Licence states on file
- MN
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2024-04-02
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 Minnesota