Lancaster, Lucille Marie

Lancaster, Lucille Marie is an individual health care provider with primary practice located at 2421 S Rainbows End , Gold Canyon AZ 85118-4891. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. Lancaster, Lucille Marie can be contacted via phone (480) 982-4431.

Contact Information

Primary practice address
2421 S Rainbows End Gold Canyon AZ 85118-4891
Fax: (480) 671-0140
Website:

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X RN078971 Arizona

Profile Details

NPI number 1043295793
LBN Legal business name Lancaster, Lucille Marie
Credentials Nurse Practitioner (NP)
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 14th, 2005
Last updated Jul 13th, 2009 - about 16 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 1043295793 NPPES
Arizona MEDICAID 868614

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