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Individual

CHASE EDWARD LANCASTER

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
DO

Contact information

Practice address
313 W SHAW AVE, FRESNO, CA 93612-3685
(800) 492-4227
(559) 646-3652
Mailing address
3875 W BEECHWOOD AVE, FRESNO, CA 93711-0795
(800) 492-4227

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
20A22230
CA
390200000X
Student in an Organized Health Care Education/Training Program
1958
CA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
1958
PHYSICIAN TRAINING LICENSE
CA
Enumeration date
04/16/2018
Last updated
10/11/2024
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