Individual
TAYLOR F LANCASTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1705 RENAISSANCE BLVD, STE 100, EDMOND, OK 73013-3041
(405) 285-6901
Mailing address
1908 ALDERBROOK CT, NORMAN, OK 73072-3029
(405) 285-6901
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
23581
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1760521645
AR BCBS
AR
05
—
178784001
—
AR
05
—
200262360A
—
OK
05
—
204961101
—
TX
01
—
771100501
ARK BREASTCARE
AR
01
—
8J8682
TEXAS BCBS
TX
01
—
E6107
ARK STATE LICENSE
AR
01
—
N3130
TEXAS STATE LICENSE
TX
Enumeration date
02/06/2007
Last updated
07/27/2023
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