Individual
MS. MARY LANCASTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
1640 BREAZEALE SPRINGS ST, NATCHITOCHES, LA 71457-4278
(318) 352-9299
(318) 521-8031
Mailing address
105 JEFFERSON ST OFC, NATCHITOCHES, LA 71457-4350
(318) 357-2056
(318) 521-8031
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
AP08326
LA
363LC1500X
Community Health Nurse Practitioner
AP08326
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2433601
—
LA
01
—
AP08326
LICENSE
LA
Enumeration date
08/28/2015
Last updated
10/19/2020
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