Provider Type Icon

DR. LANCE MICHAEL BLACK M.D. NPI 1508957325


NPI Information

NPI: 1508957325
Provider Name: DR. LANCE MICHAEL BLACK, M.D.
Classification: Student in an Organized Health Care Education/Training Program - 390200000X
Entity Type: Individual
Address:
307 BOATNER RD
SUITE 114
EGLIN AFB, FL
ZIP 32542
Phone: (850) 883-9624
Get Directions

DR. Lance Michael Black, M.D. is a student in an organized health care education training program in Eglin Afb, FL. The provider is an individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care. DR. Lance Michael Black, M.D. NPI is 1508957325. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

307 BOATNER RD
SUITE 114
EGLIN AFB, FL
ZIP 32542-391
Phone: (850) 883-9624

The enumeration date for this NPI number is 9/27/2006 and was last updated on 7/8/2007.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1390200000XStudent in an Organized Health Care Education/Training ProgramYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.