Individual
TENECIA DAWN LANCASTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP-BC
Contact information
Practice address
607 INDIAN HEALTH RD, PINE RIDGE, SD 57770-3169
(605) 867-5131
Mailing address
607 INDIAN HEALTH RD, PINE RIDGE, SD 57770-3169
(605) 867-5131
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
21972
TN
363LF0000X
Family Nurse Practitioner
Primary
21972
TN
363LP2300X
Primary Care Nurse Practitioner
21972
TN
363LX0106X
Occupational Health Nurse Practitioner
21972
TN
Other
Enumeration date
01/08/2017
Last updated
08/19/2022
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