Individual
LISA M LANCASTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
5 MEDICAL BLVD, HATTIESBURG, MS 39401-7231
(601) 261-3500
(601) 261-3583
Mailing address
415 S 28TH AVE, HATTIESBURG, MS 39401-7246
(601) 579-5488
(601) 579-5240
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
14829
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00116743
—
MS
05
—
1418293
—
LA
Enumeration date
07/13/2006
Last updated
07/08/2007
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