Individual
TIFFANY CLARKE LANCASTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
C.P.N.P.
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
0024166969
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
010293979
VA PAREMIER KENB
VA
05
—
010293979
—
VA
01
—
010293987
VA PREMIER SOUTH HILL
VA
05
—
010293987
—
VA
05
—
010294011
—
VA
01
—
224189800
DOL
VA
Enumeration date
07/03/2006
Last updated
09/03/2013
Update your record
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