Provider Demographics
NPI:1043064942
Name:LANCER HEALTH PLLC
Entity type:Organization
Organization Name:LANCER HEALTH PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:LANCER
Authorized Official - Middle Name:
Authorized Official - Last Name:NAGHDECHI
Authorized Official - Suffix:
Authorized Official - Credentials:DO
Authorized Official - Phone:646-363-6303
Mailing Address - Street 1:300 ARTHUR GODFREY RD STE 213
Mailing Address - Street 2:
Mailing Address - City:MIAMI BEACH
Mailing Address - State:FL
Mailing Address - Zip Code:33140-3627
Mailing Address - Country:US
Mailing Address - Phone:646-363-6303
Mailing Address - Fax:
Practice Address - Street 1:300 ARTHUR GODFREY RD STE 213
Practice Address - Street 2:
Practice Address - City:MIAMI BEACH
Practice Address - State:FL
Practice Address - Zip Code:33140-3627
Practice Address - Country:US
Practice Address - Phone:646-363-6303
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-04-16
Last Update Date:2024-04-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2084P0804XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyChild & Adolescent PsychiatryGroup - Single Specialty