Provider Demographics
NPI:1114418431
Name:VILLENEUVE, LANCE M (MD, PHD)
Entity type:Individual
Prefix:
First Name:LANCE
Middle Name:M
Last Name:VILLENEUVE
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Gender:
Credentials:MD, PHD
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Other - First Name:
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Mailing Address - Street 1:1000 N LINCOLN BLVD STE 400
Mailing Address - Street 2:
Mailing Address - City:OKLAHOMA CITY
Mailing Address - State:OK
Mailing Address - Zip Code:73104-3252
Mailing Address - Country:US
Mailing Address - Phone:405-271-4912
Mailing Address - Fax:
Practice Address - Street 1:1520 W HARRISON ST FL 6
Practice Address - Street 2:
Practice Address - City:CHICAGO
Practice Address - State:IL
Practice Address - Zip Code:60607-3106
Practice Address - Country:US
Practice Address - Phone:312-942-6644
Practice Address - Fax:312-942-2176
Is Sole Proprietor?:No
Enumeration Date:2018-05-22
Last Update Date:2025-05-15
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
IL036.174856207T00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207T00000XAllopathic & Osteopathic PhysiciansNeurological Surgery