DR. Lance Carroll, M.D.

NPI #1619050952 in Bastrop, Texas

Provider Information

NPI Number: 1619050952
Entity Type: Individual
Name: DR. Lance Carroll, M.D.
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Family Medicine
Credential: M.D.
Enumeration Date: Oct 23, 2006
Last Updated: Jul 6, 2012

Practice Location

Address: 1205 WALNUT ST
City: Bastrop
State: Texas
ZIP Code: 78602-3944
Phone: (512) 644-7283

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Family Medicine	207Q00000X	Primary

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