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.