Joshua Lancaster
Nurse Anesthetist, Certified Registered in Decatur, TX. Individual provider (NPI-1).
NPI number1962910083
StatusActive
Last updated in NPPESMay 14, 2019
Details
- NPI
- 1962910083
- Entity type
- Individual (NPI-1)
- Name
- Joshua Lancaster
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Jan 11, 2018
- Last updated
- May 14, 2019
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 367500000X | Nurse Anesthetist, Certified Registered | AP136218 | TX | Yes |
| 163W00000X | Registered Nurse | 802953 | TX |
Practice location
609 Medical Center DrDecatur, TX 76234-3836
Phone 940-627-5921
Mailing address
10012 Butte Meadows DrFort Worth, TX 76177-7398
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