Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Lance Michael Petty

Individual provider Registered Nurse · NPI 1174090153

Lance Michael Petty is a Registered Nurse in Wakefield, Massachusetts. Practices as a sole proprietor. Licensed in Texas.

Licensed in
TX
In the registry since
2018

Practice location Address checks out

701 Edgewater Dr Ste 300
Wakefield, MA 01880-6242
Phone: (781) 486-4116
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Registered Nurse (primary) Taxonomy 163W00000X · Licence 345381 (TX)

Record details

NPI number1174090153
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorYes
NPI enumeratedOctober 29, 2018
Last updated in NPPESOctober 29, 2018
Mailing address18158 Woodsdale Ct, Porter, TX 77365-3651

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