Individual
JILL ALINA LANCASTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
15584R
LA
208000000X
Pediatrics Physician
Primary
4301088930
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1462837
—
LA
Enumeration date
06/24/2006
Last updated
08/15/2014
Update your record
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