| Lance D Brigman, Md, Ps | |
|
1004 Fir St Longview WA 98632-2527 | |
| (360) 423-6110 | |
| (360) 423-8078 |
| Full Name | Lance D Brigman, Md, Ps |
|---|---|
| Speciality | Family Medicine |
| Location | 1004 Fir St, Longview, Washington |
| Authorized Official Name and Position | Lance D Brigman (M.D.) |
| Authorized Official Contact | 3604236110 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Lance D Brigman, Md, Ps 1004 Fir St Longview WA 98632-2527 Ph: (360) 423-6110 | Lance D Brigman, Md, Ps 1004 Fir St Longview WA 98632-2527 Ph: (360) 423-6110 |
| NPI Number | 1053505149 |
|---|---|
| Provider Enumeration Date | 08/31/2007 |
| Last Update Date | 08/31/2007 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1053505149 | NPI | - | NPPES |
| 1104009 | Medicaid | WA | |
| 1084862 | Medicaid | WA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084P0804X | Psychiatry & Neurology - Child & Adolescent Psychiatry | MD00030053 (Washington) | Secondary |
| 207Q00000X | Family Medicine | MD00013785 (Washington) | Primary |
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