Individual
MR. JARED LANCASTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
625 KENT AVE, SUITE 102, CUMBERLAND, MD 21502-3794
(301) 777-2503
Mailing address
625 KENT AVE, SUITE 102, CUMBERLAND, MD 21502-3794
(301) 777-2503
Taxonomy
Speciality
Code
Description
License number
State
363AS0400X
Surgical Physician Assistant
Primary
C05992
MD
Other
Enumeration date
11/05/2015
Last updated
11/05/2015
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