Lancaster, Larry A

Lancaster, Larry A is an individual health care provider with primary practice located at 5 Alice Peck Day Dr , Lebanon NH 03766-2901. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as his primary health care specialty. Lancaster, Larry A can be contacted via phone (603) 448-3122.

Contact Information

Primary practice address
5 Alice Peck Day Dr Lebanon NH 03766-2901
Fax: (603) 448-7491
Website:

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 031797-23-03 New Hampshire

Profile Details

NPI number 1770579781
LBN Legal business name Lancaster, Larry A
Credentials ARNP
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 26th, 2005
Last updated May 8th, 2017 - about 7 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1770579781 NPPES
Vermont Other 00029110 BC BS VT
Vermont Other 08P199 BC BS VT
Vermont MEDICAID 0NP0658 BC BS VT
Vermont Other S26879 BC BS VT
Vermont MEDICAID 80000658 BC BS VT

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