Individual
DR. JONATHAN DAVID LANCASTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHARM.D
Contact information
Practice address
105 CENTRAL BRIDGE ST, WAUSAU, WI 54401-2945
(715) 845-8279
Mailing address
105 CENTRAL BRIDGE ST, WAUSAU, WI 54401-2945
(715) 845-8279
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
13836-040
WI
Other
Enumeration date
11/17/2009
Last updated
02/10/2012
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