| Doctor Name: | LANCE P ARMSTRONG |
| NPI Number: | 1003116393 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | CSAC |
| License Number: | 15521 |
| Business Practice Address: | 25 Kessel Ct Ste 200 Madison, WI - 537116227 |
| Business Phone Number: | 6082788200 |
| Business Fax Number: | 6082788204 |
| Mailing Address: | 7974 Uw Health Court, MIDDLETON |
| State: | WI |
| Postal Code: | 535625531 |
| Phone Number: | 6088295485 |
| Fax Number: | |
| NPI Enumeration Date: | 11/02/2010 |
| NPI Last Update Date: | 12/07/2010 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 101YA0400X |
| License Number: | 15521 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | WI |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Counselor |
| Taxonomy Specialization: | Addiction (Substance Use Disorder) |
| Taxonomy Definition: | |