Individual
KIRSTEN K LANCASTER
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
PSY.D.
Contact information
Practice address
2411 ROBESON ST, SUITE 200, FAYETTEVILLE, NC 28305-5549
(910) 609-1990
(910) 609-1993
Mailing address
2411 ROBESON ST, SUITE 200, FAYETTEVILLE, NC 28305-5549
(910) 609-1990
(910) 609-1993
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
2680
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
015J8
BCBSNC -- GROUP
NC
01
—
046JG
BCBSNC -- INDIVIDUAL
NC
01
—
246741
COMPSYCH
NC
05
—
6000531
—
NC
Enumeration date
02/02/2006
Last updated
07/08/2007
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