Doctor Name: | LUCILLE MARIE LANCASTER |
NPI Number: | 1043295793 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | NP |
License Number: | RN078971 |
Business Practice Address: | 2421 S Rainbows End Gold Canyon, AZ - 851184891 |
Business Phone Number: | 4809824431 |
Business Fax Number: | 4806710140 |
Mailing Address: | 2421 S Rainbows End, GOLD CANYON |
State: | AZ |
Postal Code: | 851184891 |
Phone Number: | 4809824431 |
Fax Number: | 4806710140 |
NPI Enumeration Date: | 12/14/2005 |
NPI Last Update Date: | 07/13/2009 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 363LF0000X |
License Number: | RN078971 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | AZ |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Nurse Practitioner |
Taxonomy Specialization: | Family |
Taxonomy Definition: |