Individual
MICHAEL LANCASTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1403 INKSTER RD, INKSTER, MI 48141-1831
(313) 565-2200
Mailing address
1403 INKSTER RD, INKSTER, MI 48141-1831
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Enumeration date
10/09/2014
Last updated
10/09/2014
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