Lawrence Edwin Chance Jr, MD | |
Us Hwy 491 North, Northern Navajo Medical Center, Shiprock, NM 87420 | |
(505) 368-6001 | |
(907) 966-8606 |
Full Name | Lawrence Edwin Chance Jr |
---|---|
Gender | Male |
Speciality | Psychiatry & Neurology - Psychiatry |
Location | Us Hwy 491 North, Shiprock, New Mexico |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1952452492 | NPI | - | NPPES |
45826226 | Medicaid | CO | |
242390 | Medicaid | AZ | |
63250233 | Medicaid | NM | |
MD3780 | Medicaid | AK |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
2084P0800X | Psychiatry & Neurology - Psychiatry | 3780 (Alaska) | Primary |
Entity Name | Dhhs Phs Naihs Shiprock Hospital |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1780639971 PECOS PAC ID: 0749193837 Enrollment ID: O20031105000809 |
Mailing Address | Practice Location Address |
---|---|
Lawrence Edwin Chance Jr, MD Po Box 160, Northern Navajo Medical Center, Shiprock, NM 87420 Ph: (505) 368-6001 | Lawrence Edwin Chance Jr, MD Us Hwy 491 North, Northern Navajo Medical Center, Shiprock, NM 87420 Ph: (505) 368-6001 |
Dr. David B Durham, MD Psychiatry & Neurology Medicare: Accepting Medicare Assignments Practice Location: Nnmc, 491 Us Highway 64w, Shiprock, NM 87420 Phone: 505-368-7305 Fax: 505-368-7319 | |
Garrett H. Riggs, MD Psychiatry & Neurology Medicare: Accepting Medicare Assignments Practice Location: Us Hwy 491 North, Shiprock, NM 87420 Phone: 505-368-6001 |