Individual
DONNY GWEN LANCASTER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
3020 KEYSTONE ST, LONGVIEW, TX 75605-1504
(903) 759-2264
(903) 759-2264
Mailing address
3020 KEYSTONE ST, LONGVIEW, TX 75605-1504
(903) 759-2264
(903) 759-2264
Taxonomy
Speciality
Code
Description
License number
State
164X00000X
Licensed Vocational Nurse
Primary
164X00000X
TX
Other
Enumeration date
05/21/2009
Last updated
05/21/2009
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