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Individual

SUSAN A LANCASTER

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
ACNPC-AG

Contact information

Practice address
1541 ROUTE 88 STE A, BRICK, NJ 08724-2373
(732) 836-3200
(732) 836-3201
Mailing address
56 TAYLOR AVE # A, MANASQUAN, NJ 08736-3030
(732) 691-5881

Taxonomy

Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
26NJ00936900
NJ
363LA2100X
Acute Care Nurse Practitioner
26NJ00936900
NJ

Other

Enumeration date
07/26/2019
Last updated
04/11/2025
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