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Individual

ALISA R LANCASTER

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MD

Contact information

Practice address
100 CORNERSTONE DR, CARY, NC 27519-8453
(919) 460-0993
(919) 481-3952
Mailing address
5400 TRINITY RD, STE 105, RALEIGH, NC 27607-6001
(919) 851-2174
(919) 854-7774

Taxonomy

Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
NC

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
50670
BCBS
NC
05
7950670
NC
Enumeration date
06/01/2006
Last updated
07/08/2007
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