Individual
KEVIN LEE LANCASTER
Active
Individual
KEVIN LEE LANCASTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
J6532
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
134603308
—
TX
05
—
134603311
—
TX
01
—
8456B7
TX-BLUE SHIELD
—
01
—
8AW306
BLUE CROSS BLUE SHIELD
TX
Enumeration date
01/17/2007
Last updated
11/25/2008
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