Individual
DANIELLE BROOKE LANCASTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHYSICIAN ASSISTANT
Contact information
Practice address
186 HOSPITAL DR, GRANTSVILLE, WV 26147-7100
(304) 354-9244
Mailing address
122 CENTER ST, CLAY, WV 25043-7046
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
2487
WV
Other
Enumeration date
02/04/2020
Last updated
01/24/2024
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