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Dr. Scott H Lancaster

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NPI Number Detailed Information

Provider Information:

Name: Dr. Scott H Lancaster
Gender: M
Provider License Number If Given: J5602

NPI Information:

NPI: 1386647329
Entity Type
(Individual or Organization):
1-ind
Enumeration Date: 5/23/2005

Last Update Date: 5/1/2014

Provider Business Mailing Address:

Address: PO BOX 4157
Midland, TX 79704
Phone Number: 4326990306
Fax Number: 4325202723

Provider Business Practice Location Address:

Address: 4519 N GARFIELD ST SUITE 15
Midland, TX 79705
Phone Number: 4326990306
Fax Number: 4325202723

Provider Taxonomy:

Primary: 207L00000X
Secondary (if any):
State: TX

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