Individual
COLEMAN HARRISON LANCASTER JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
O.D.
Contact information
Practice address
129 SHANNON VLG, LOUISBURG, NC 27549-2605
(919) 496-2328
Mailing address
129 S. BICKETT BLVD., LOUISBURG, NC 27549-2605
(919) 496-2328
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
1420
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0262C
BCBS OF NC
NC
05
—
8802036
—
NC
05
—
89012N3
—
NC
Enumeration date
01/02/2007
Last updated
08/23/2016
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