Provider Demographics
NPI:1043546617
Name:LANCASTER, LAURIE STINER (PT)
Entity Type:Individual
Prefix:
First Name:LAURIE
Middle Name:STINER
Last Name:LANCASTER
Suffix:
Gender:F
Credentials:PT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 1769
Mailing Address - Street 2:
Mailing Address - City:MIDDLEBURG
Mailing Address - State:VA
Mailing Address - Zip Code:20118-1769
Mailing Address - Country:US
Mailing Address - Phone:540-687-8181
Mailing Address - Fax:540-687-8256
Practice Address - Street 1:119 THE PLAINS RD STE 100
Practice Address - Street 2:
Practice Address - City:MIDDLEBURG
Practice Address - State:VA
Practice Address - Zip Code:20117-2691
Practice Address - Country:US
Practice Address - Phone:540-687-8181
Practice Address - Fax:540-687-8256
Is Sole Proprietor?:No
Enumeration Date:2009-11-02
Last Update Date:2021-10-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WAPT60021231225100000X
VA2305207299225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist
Provider Identifiers
StateIdentifier IDID TypeIssuer
WA0256195OtherL&I
WA0258814OtherL&I
WA0103LAOtherREGENCE
WA0108LAOtherREGENCE
WA0109LAOtherREGENCE
WA0258857OtherL&I
WA0160LAOtherREGENCE
WA1043546619OtherDSHS
WA0104LAOtherREGENCE
WA0102LAOtherREGENCE
WA0106LAOtherREGENCE
WA0159LAOtherREGENCE
WA0101LAOtherREGENCE
WA0107LAOtherREGENCE
WAG8888355Medicare PIN
WA0101LAOtherREGENCE
WA0107LAOtherREGENCE