Individual
JOEL S LANCASTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
RN
Contact information
Practice address
322 S BIRCH ST, MCCLEARY, WA 98557-9522
(360) 205-4750
Mailing address
322 S BIRCH ST, MCCLEARY, WA 98557-9522
Taxonomy
Speciality
Code
Description
License number
State
163WP0808X
Psychiatric/Mental Health Registered Nurse
Primary
RN60288246
WA
Other
Enumeration date
09/04/2019
Last updated
09/04/2019
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