Individual
PATRICIA LANCASTER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
1861 PINEDALE ST, MEDFORD, OR 97504-2104
(541) 274-0733
Mailing address
1861 PINEDALE ST, MEDFORD, OR 97504-2104
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
200030137LPN
OR
Other
Enumeration date
03/03/2016
Last updated
03/03/2016
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