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Individual

CARLTON DELK LANCASTER JR.

Active
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Individual

CARLTON DELK LANCASTER JR.

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
15392
GA
207RE0101X
Endocrinology, Diabetes & Metabolism Physician
015392
GA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
000153238C
GA
01
01709412
AMERIGROUP
GA
01
507792
WELLCARE
GA
01
P01091141
RR MEDICARE
GA
Enumeration date
10/26/2006
Last updated
01/25/2024
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