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Organization

JOHN M. LANCASTER OD PC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. JOHN M. LANCASTER O.D. (PRESIDENT)
(815) 485-3431
Entity
Organization

Contact information

Practice address
402 E LINCOLN HWY, NEW LENOX, IL 60451-3593
(815) 485-3431
(815) 485-1986
Mailing address
402 E. LINCOLN HWY., NEW LENOX, IL 60451-3593
(815) 485-3431
(815) 485-1986

Taxonomy

Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
0494810001
DMERC
IL
Enumeration date
01/14/2008
Last updated
12/15/2010
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