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

Mr. Michael Dale Lance II, CRNA

Individual provider Certified Registered Nurse Anesthetist · NPI 1063032001

Mr. Michael Dale Lance II, CRNA is a Certified Registered Nurse Anesthetist (CRNA) in Louisville, Kentucky. Qualified in 2020, 6 years ago. Practices with Apollo Medical Group of Jeffersonville LLC, a 25-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Kentucky.

Years since qualifying
6
Licensed in
KY
In the registry since
2020
What do these letters mean?
CRNA — Certified Registered Nurse Anesthetist
An advanced practice nurse who administers anaesthesia.

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Practice location Address checks out

530 S Jackson St
Louisville, KY 40202-1675
Phone: (502) 852-1735
Fax: (502) 852-6056
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 200 Abraham Flexner Way, Louisville, KY 40202-2877 — (502) 587-4044

Specialties & licences

Certified Registered Nurse Anesthetist (primary) Taxonomy 367500000X · Licence 3014694 (KY)

Record details

NPI number1063032001
Entity typeIndividual (Type 1)
GenderMale
Credentials CRNA
Sole proprietorNo
NPI enumeratedApril 20, 2020
Last updated in NPPESAugust 5, 2020
Certification dateAugust 5, 2020

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyCERTIFIED REGISTERED NURSE ANESTHETIST (CRNA)
Medical schoolOTHER
Graduated 2020 (6 years in practice)
Group practice Apollo Medical Group Of Jeffersonville Llc — 25 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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