Back to Search
LANCE PORT, PA-C
PA-C
Medical Physician Assistant
NPI: 1578222188IndividualAccepts Medicare
Specialties, Licenses & Credentials
Medical Physician AssistantPrimary
Physician Assistant — Medical
Code: 363AM0700X
CMS Specialties
PrimaryPHYSICIAN ASSISTANT
Education
OTHER
Class of 2021
Contact & Hours
- Address
- 103 S DAISY ST
SALMON, ID 83467 - Phone
- (208) 756-6212
Quick Facts
- NPI
- 1578222188
- Entity Type
- Individual
- Gender
- Male
- Medicare
- Accepted
- Specialties
- 1
- Locations
- 1
- Years in Practice
- 5
Are you this provider?
Claim Your Profile