| Doctor Name: | LANCE KRUEGER |
| NPI Number: | 1003869249 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | PA-C |
| License Number: | 493 |
| Business Practice Address: | 501 S Santa Fe Ave Suite 200 Salina, KS - 674014189 |
| Business Phone Number: | 7854527562 |
| Business Fax Number: | 7854527105 |
| Mailing Address: | 501 S Santa Fe Ave, Suite 200 SALINA |
| State: | KS |
| Postal Code: | 674014189 |
| Phone Number: | 7854527562 |
| Fax Number: | 7854527105 |
| NPI Enumeration Date: | 05/18/2006 |
| NPI Last Update Date: | 07/16/2015 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 363AS0400X |
| License Number: | 493 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | NE |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Physician Assistant |
| Taxonomy Specialization: | Surgical |
| Taxonomy Definition: | |