Individual
REBECCA M LANCASTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
P.A.
Contact information
Practice address
101 E 2ND STREET, KENLY, NC 27542
(919) 284-4025
(919) 284-5965
Mailing address
PO BOX 275, KENLY, NC 27542-0275
(919) 284-4025
(919) 284-5965
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
103808
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
8103148
—
NC
Enumeration date
04/04/2006
Last updated
05/30/2013
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