Individual
STEPHANIE LANCASTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
930 MADISON, SUITE EC013, MEMPHIS, TN 38163-2243
(901) 448-6438
(901) 448-1411
Mailing address
930 MADISON, SUITE EC013, MEMPHIS, TN 38163-2243
(901) 448-6438
(901) 448-1411
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
535
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0446645
—
TN
01
—
3133295
BLUE CROSS BLUE SHIELD
TN
Enumeration date
11/05/2013
Last updated
11/05/2013
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