Lance Forest Hunt
Physical Medicine & Rehabilitation in Owosso, MI. Individual provider (NPI-1).
NPI number1730786351
StatusActive
Last updated in NPPESOct 6, 2020
Details
- NPI
- 1730786351
- Entity type
- Individual (NPI-1)
- Name
- Lance Forest Hunt
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Oct 6, 2020
- Certification date
- Oct 6, 2020
- Last updated
- Oct 6, 2020
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 208100000X | Physical Medicine & Rehabilitation | 5502002474 | MI | Yes |
Practice location
1193 Hanover StOwosso, MI 48867-4906
Phone 989-413-5749
Mailing address
1193 Hanover StOwosso, MI 48867-4906
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