Individual
TYSON LANCASTER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1545 VILLARD ST, EUGENE, OR 97403-2045
(520) 444-6655
Mailing address
1545 VILLARD ST, EUGENE, OR 97403-2045
(520) 444-6655
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
—
—
Other
Enumeration date
07/15/2015
Last updated
07/15/2015
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