Individual
MATTHEW BENJAMIN LANCASTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1300 N 12TH ST STE 508, PHOENIX, AZ 85006-2849
(602) 839-3927
(602) 839-4233
Mailing address
406 S 4TH ST APT 407, BOISE, ID 83702-7693
(864) 387-9382
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
4871752
ID
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
04/05/2022
Last updated
10/14/2025
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