Provider Demographics
NPI:1053864264
Name:LANCASTER, RAMONA C (DNP)
Entity Type:Individual
Prefix:
First Name:RAMONA
Middle Name:C
Last Name:LANCASTER
Suffix:
Gender:F
Credentials:DNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2744 FORT MCALLISTER RD
Mailing Address - Street 2:
Mailing Address - City:RICHMOND HILL
Mailing Address - State:GA
Mailing Address - Zip Code:31324-4802
Mailing Address - Country:US
Mailing Address - Phone:912-844-1034
Mailing Address - Fax:912-748-6277
Practice Address - Street 1:2744 FORT MCALLISTER RD
Practice Address - Street 2:
Practice Address - City:RICHMOND HILL
Practice Address - State:GA
Practice Address - Zip Code:31324-4802
Practice Address - Country:US
Practice Address - Phone:912-844-1034
Practice Address - Fax:912-748-6277
Is Sole Proprietor?:Yes
Enumeration Date:2016-07-25
Last Update Date:2016-07-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GA81-3339676343900000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes343900000XTransportation ServicesNon-emergency Medical Transport (VAN)
Provider Identifiers
StateIdentifier IDID TypeIssuer
GA81-3339676OtherDEPARTMENT OF TREASURY INTERNAL REVENUE