NPI | 1255771929 |
---|---|
Former Name | LUCAS A LANCASTER |
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 231H00000X Audiologist (Licence: VA 2201001571) |
Additional Taxonomies | 231H00000X Audiologist (Licence: DC AUD000151) |
Enumeration Date | 2013-06-26 |
Last Update Date | 2024-10-30 |