Individual provider · Type 1 NPI
Lance William Camacho, PA-C
Medical Physician Assistant · United States Air Force Acad, CO
NPI number
1497084198
Active
Practice location
4102 Pinion Dr
United States Air Force Acad, CO 80840-2502
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Medical Physician Assistant | 363AM0700X | PA9109563 (FL) |
| Medical Physician Assistant Primary | 363AM0700X | PA08575 (TX) |
Medical Physician Assistant: Definition to come...
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About NPI 1497084198
Lance William Camacho, PA-C's National Provider Identifier is 1497084198, issued on Dec 9, 2009. The primary taxonomy on file is Medical Physician Assistant (363AM0700X), and the practice location is in United States Air Force Acad, CO. The record was last updated on Aug 11, 2021.