Lance D. Holtry, D.O. Valid NPI

Individual provider · Family Medicine Physician · El Dorado Hills, CA

NPI

1104814037

Type

Individual (Type 1)

Primary specialty

Family Medicine Physician (Family Medicine)

Specialty group

Allopathic & Osteopathic Physicians

Taxonomy code

207Q00000X

License number

20A10368 (CA)

Sex

Male

Sole proprietor

No

Enumerated

2005-10-13

Last updated

2021-12-17