| Doctor Name: | LANCE LEE GARDNER |
| NPI Number: | 1710088141 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | P.T. |
| License Number: | PT015177 |
| Business Practice Address: | 52 Rising Sun Town Ctr Rising Sun, MD - 219111902 |
| Business Phone Number: | 4106580100 |
| Business Fax Number: | |
| Mailing Address: | 1812 Marsh Rd, Store 505 WILMINGTON |
| State: | DE |
| Postal Code: | 198104581 |
| Phone Number: | 3027930432 |
| Fax Number: | 3027930400 |
| NPI Enumeration Date: | 09/26/2006 |
| NPI Last Update Date: | 01/26/2009 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 2251X0800X |
| License Number: | PT015177 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | PA |
| Taxonomy Type: | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Taxonomy Classification: | Physical Therapist |
| Taxonomy Specialization: | Orthopedic |
| Taxonomy Definition: | |