Individual
CHARLES STEVEN LANCASTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
O.D.
Contact information
Practice address
3316 3RD ST S, SUITE 103, JACKSONVILLE BEACH, FL 32250-6073
(904) 241-7865
Mailing address
204 LORA ST, NEPTUNE BEACH, FL 32266-4941
(904) 249-6215
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
OPC1541
FL
Other
Enumeration date
10/04/2006
Last updated
07/08/2007
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