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Individual

ALLYSON MAINS LANCASTER

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
NP

Contact information

Practice address
212 HOSPITAL DR, WARNER ROBINS, GA 31088-4207
(478) 923-1014
(478) 923-1017
Mailing address
212 HOSPITAL DR, WARNER ROBINS, GA 31088-4207
(478) 923-1014
(478) 923-1017

Taxonomy

Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
RN224906
GA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
RN224906
LICENSE
GA
Enumeration date
11/05/2012
Last updated
11/16/2018
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