Michael D Lance (NPI# 1073655304, PAC ID# 9335163765) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is PSYCHIATRY.
| Nation Provider ID (NPI) | 1073655304 |
| PAC ID by PECOS | 9335163765 |
| Professional Enrollment ID | I20170224000175 |
| Full Name | Michael D Lance |
| Organization Legal Name | ST LUKE'S CLINIC, LLC |
| Address |
2001 Bench Rd Pocatello ID 83201-2033 |
| Phone Number | 2082381039 |
| Gender | M |
| Credential | MD |
| Medical School | GEORGE WASHINGTON UNIVERSITY SCHOOL OF MEDICINE |
| Graduation Year | 2003 |
| Primary Specialty | PSYCHIATRY |
| Group Practice PAC ID | 1052217478 |
| Number of Group Practice Members | 218 |
| Accepts Medicare Assignment | Y |
| Address | Phone | Organization |
|---|---|---|
| 2001 Bench Rd, Pocatello, ID 83201-2033 | 2082381039 | ST LUKE'S CLINIC, LLC |
| 228 Shoup Ave W, Twin Falls, ID 83301-5022 | 2088147900 | ST LUKE'S CLINIC, LLC |
| Organization Legal Name | ST LUKE'S CLINIC, LLC |
| Physicians | 35 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Rajan Gosain | Psychiatry | St Luke's Clinic, LLC | 228 Shoup Ave W, Twin Falls, ID 83301-5022 |
| Tina M Peer | Nurse Practitioner | St Luke's Clinic, LLC | 714 N College Rd, Suite A, Twin Falls, ID 83301-5812 |
| Brian C Birch | Pediatric Medicine | St Luke's Clinic, LLC | 762 N College Rd, Suite Aandb, Twin Falls, ID 83301-5392 |
| Corinne Bartschi | Nurse Practitioner | St Luke's Clinic, LLC | 775 Pole Line Rd W, Twin Falls, ID 83301-5819 |
| John James D Angelo | Emergency Medicine | St Luke's Clinic, LLC | 801 Pole Line Rd W, Twin Falls, ID 83301-5810 |
| Dale C Dickinson Jr. | Certified Registered Nurse Anesthetist | St Luke's Clinic, LLC | 709 N Lincoln Ave, Jerome, ID 83338-1851 |
| Kenneth A Cogen | Nephrology | St Luke's Clinic, LLC | 2001 Bench Rd, Pocatello, ID 83201-2033 |
| Randall J Skeem | Internal Medicine | St Luke's Clinic, LLC | 2001 Bench Rd, Pocatello, ID 83201-2033 |
| Martha Elizabeth Franz | Family Practice | St Luke's Clinic, LLC | 2001 Bench Rd, Pocatello, ID 83201-2033 |
| John L Shuss | General Surgery | St Luke's Clinic, LLC | 2001 Bench Rd, Pocatello, ID 83201-2033 |
| Street Address |
2001 BENCH RD |
| City | POCATELLO |
| State | ID |
| Zip | 83201-2033 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Kenneth A Cogen | Nephrology | St Luke's Clinic, LLC | 2001 Bench Rd, Pocatello, ID 83201-2033 |
| Randall J Skeem | Internal Medicine | St Luke's Clinic, LLC | 2001 Bench Rd, Pocatello, ID 83201-2033 |
| Martha Elizabeth Franz | Family Practice | St Luke's Clinic, LLC | 2001 Bench Rd, Pocatello, ID 83201-2033 |
| John L Shuss | General Surgery | St Luke's Clinic, LLC | 2001 Bench Rd, Pocatello, ID 83201-2033 |
| Ciara C Christensen | Clinical Psychologist | St Luke's Clinic, LLC | 2001 Bench Rd, Pocatello, ID 83201-2033 |
| Robin L Hall | Nurse Practitioner | St Luke's Clinic, LLC | 2001 Bench Rd, Pocatello, ID 83201-2033 |
| Laurence L Martens | Family Practice | St Luke's Clinic, LLC | 2001 Bench Rd, Pocatello, ID 83201-2033 |
| Terry J Buccambuso | Diagnostic Radiology | St Luke's Clinic, LLC | 2001 Bench Rd, Pocatello, ID 83201-2033 |
| Donald E Smith | Obstetrics/gynecology | St Luke's Clinic, LLC | 2001 Bench Rd, Pocatello, ID 83201-2033 |
| Brian A Johns | Preventative Medicine | St Luke's Clinic, LLC | 2001 Bench Rd, Pocatello, ID 83201-2033 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Timothy A Flicker | Physical Therapy | 2839 Margo Ln, Pocatello, ID 83201-1961 | |
| Laura J Toepfer | Nurse Practitioner | St Luke's Clinic, LLC | 2001 Bench Rd, Pocatello, ID 83201-2033 |
| Douglas L Stagg | Emergency Medicine | St Luke's Clinic, LLC | 2001 Bench Rd, Pocatello, ID 83201-2033 |
| James M Retmier | Orthopedic Surgery | St Luke's Clinic, LLC | 2001 Bench Rd, Pocatello, ID 83201-2033 |
| James D Lohmann | Family Practice | St Luke's Clinic, LLC | 2001 Bench Rd, Pocatello, ID 83201-2033 |
| Devin S Bowman | Physician Assistant | St Luke's Clinic, LLC | 2001 Bench Rd, Pocatello, ID 83201-2033 |
| Evan D Thomas | Diagnostic Radiology | St Luke's Clinic, LLC | 2001 Bench Rd, Pocatello, ID 83201-2033 |
| Adam R Bowman | Emergency Medicine | St Luke's Clinic, LLC | 2001 Bench Rd, Pocatello, ID 83201-2033 |
| Gretchen G Basen | Physician Assistant | St Luke's Clinic, LLC | 2001 Bench Rd, Pocatello, ID 83201-2033 |
| Joseph A Bradbury | Emergency Medicine | St Luke's Clinic, LLC | 2001 Bench Rd, Pocatello, ID 83201-2033 |
| Find all physicians in zip 83201 | |||
| City | POCATELLO |
| Zip Code | 83201 |
| Specialty | PSYCHIATRY |
| City + Specialty | POCATELLO + PSYCHIATRY |
Please comment or provide details below to improve the information on Michael D Lance.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.