Provider Demographics
NPI:1154734739
Name:DOWNS, LANCE (RPH)
Entity type:Individual
Prefix:
First Name:LANCE
Middle Name:
Last Name:DOWNS
Suffix:
Gender:M
Credentials:RPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:785 FRANKLIN ST
Mailing Address - Street 2:
Mailing Address - City:N MUSKEGON
Mailing Address - State:MI
Mailing Address - Zip Code:49445-2814
Mailing Address - Country:US
Mailing Address - Phone:231-286-9222
Mailing Address - Fax:
Practice Address - Street 1:785 FRANKLIN ST
Practice Address - Street 2:
Practice Address - City:N MUSKEGON
Practice Address - State:MI
Practice Address - Zip Code:49445-2814
Practice Address - Country:US
Practice Address - Phone:231-286-9222
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2014-06-11
Last Update Date:2014-06-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI5302031226183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist