Individual
LARRY A LANCASTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
ARNP
Contact information
Practice address
5 ALICE PECK DAY DR, LEBANON, NH 03766-2901
(603) 448-3122
(603) 448-7491
Mailing address
10 ALICE PECK DAY DR, LEBANON, NH 03766-2694
(603) 448-3121
(603) 448-7462
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
031797-23-03
NH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00029110
BC BS VT
VT
01
—
08P199
MVP
NH
05
—
0NP0658
—
VT
05
—
80000658
—
NH
01
—
S26879
HARVARD PILGRIM
NH
Enumeration date
09/26/2005
Last updated
05/08/2017
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