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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 |