Individual
DR. MATTHEW CHARLES LANCASTER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
321 N 22ND ST, LAFAYETTE, IN 47904-2601
(765) 447-6733
Mailing address
248 CONNOLLY ST, WEST LAFAYETTE, IN 47906-2724
(765) 412-4889
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
12013048A
IN
Other
Enumeration date
09/08/2018
Last updated
09/08/2018
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