Lance Gator Gault, D.O.
NPI #1164615811 in Clovis, California
Provider Information
- NPI Number
- 1164615811
- Entity Type
- Individual
- Name
- Lance Gator Gault, D.O.
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Family Medicine
- Credential
- D.O.
- Enumeration Date
- Aug 24, 2007
- Last Updated
- Jan 19, 2022
Practice Location
- Address
- 2740 HERNDON AVE
- City
- Clovis
- State
- California
- ZIP Code
- 93611-6813
- Phone
- (559) 299-2608
Specialties & Taxonomy Codes
| Specialty |
|---|
| Family Medicine |
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