Individual
MICHELLE MARIE LANCASTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
25150 HANCOCK AVE STE 210, MURRIETA, CA 92562-5989
(951) 587-3739
(951) 698-5213
Mailing address
25150 HANCOCK AVE STE 210, MURRIETA, CA 92562-5989
(951) 587-3739
(951) 698-5213
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
PA21389
CA
363AS0400X
Surgical Physician Assistant
PA21389
CA
Other
Enumeration date
12/16/2010
Last updated
04/18/2022
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