NPI 1174445290

Jeremiah Blaine Lance

Practitioner Licensed Vocational Nurse Charleston, WV

Practice location

Address: 900 Virginia St E STE 400, Charleston, WV 25301-2835
Phone: (681) 313-1759
Fax: (844) 800-3954
Mailing address: 505 55th St Unit B, Vienna, WV 26105-3215

Registered specialties

Licensed Vocational Nurse Primary

Nursing Service Providers Taxonomy 164X00000X Licence 42618 (WV)

Other Licensed Vocational Nurse providers in West Virginia →

Registry record

NPI: 1174445290
Entity type: Individual
Sex (as registered): Male
NPI issued: 29 Jul 2026
Record last updated: 29 Jul 2026

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.