Lance M Petty
Registered Nurse in Wakefield, Massachusetts
1174090153- Practice location
- 701 Edgewater Dr Ste 300, Wakefield, MA 01880-6242
- Phone
- 781-486-4116
- Fax
- —
- Last updated
- October 29, 2018
Lance Michael Petty is a Registered Nurse based in Wakefield, MA. Lance Michael Petty practices in Wakefield, MA. The NPI Number for Lance Michael Petty is 1174090153 and holds a License No. 345381 (TX). The current practice location address for Lance Michael Petty is 701 Edgewater Dr Ste 300, Wakefield, MA 01880-6242 and can be reached out via phone at 781-486-4116.
Provider Profile Details
- NPI Number
- 1174090153
- Provider Name
- Lance Michael Petty
- Provider Entity Type
- Individual
- Gender
- Male
- Address
- 701 Edgewater Dr Ste 300, Wakefield, MA 01880-6242
- Phone Number
- 781-486-4116
- Primary Taxonomy
- Registered Nurse · 163W00000X
- Sole Proprietor
- Yes
- Provider Enumeration Date
- October 29, 2018
- Last Update Date
- October 29, 2018
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 701 Edgewater Dr Ste 300
Wakefield, MA 01880-6242 - City
- Wakefield
- State
- Massachusetts
- Zip
- 01880-6242
- Phone Number
- 781-486-4116
Provider Business Mailing Address Details
- Address
- 18158 Woodsdale CT
Porter, TX 77365-3651 - City
- Porter
- State
- TX
- Zip
- 77365-3651
- Phone Number
- 281-601-5565
License Information
- License Number
- 345381
- License State
- TX
- Taxonomy
- Registered Nurse · 163W00000X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
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Frequently Asked Questions
What is the NPI number of Lance M Petty?
The NPI number of Lance M Petty is 1174090153. It was assigned on October 29, 2018 and is currently active in the NPPES registry.
What is the specialty of Lance M Petty?
Lance M Petty is registered under the primary taxonomy Registered Nurse (code 163W00000X), licensed in TX under license number 345381.
Where does Lance M Petty practice?
The practice location is 701 Edgewater Dr Ste 300, Wakefield, MA 01880-6242. The office can be reached at 781-486-4116 (phone).
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.
How do I verify this NPI record?
This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1174090153 directly on the NPPES registry website.