Provider Demographics
NPI:1144848193
Name:HO, LANCE O (CDC-1)
Entity type:Individual
Prefix:MR
First Name:LANCE
Middle Name:O
Last Name:HO
Suffix:
Gender:M
Credentials:CDC-1
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Other - First Name:
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Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:360 W BENSON BLVD STE 300
Mailing Address - Street 2:
Mailing Address - City:ANCHORAGE
Mailing Address - State:AK
Mailing Address - Zip Code:99503-3953
Mailing Address - Country:US
Mailing Address - Phone:907-565-1200
Mailing Address - Fax:
Practice Address - Street 1:201 DEERMOUNT ST., K.I.C.-BEHAVIORAL HEALTH
Practice Address - Street 2:
Practice Address - City:KETCHIKAN
Practice Address - State:AK
Practice Address - Zip Code:99901
Practice Address - Country:US
Practice Address - Phone:907-228-9203
Practice Address - Fax:800-856-3318
Is Sole Proprietor?:No
Enumeration Date:2020-07-07
Last Update Date:2023-04-11
Deactivation Date:
Deactivation Code:
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Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)