Provider Demographics
NPI:1093773673
Name:LANCASTER, ROBERT TODD (MD, MPH)
Entity Type:Individual
Prefix:
First Name:ROBERT
Middle Name:TODD
Last Name:LANCASTER
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Gender:M
Credentials:MD, MPH
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Mailing Address - Street 1:15 PARKMAN ST
Mailing Address - Street 2:WACC 440
Mailing Address - City:BOSTON
Mailing Address - State:MA
Mailing Address - Zip Code:02114-3117
Mailing Address - Country:US
Mailing Address - Phone:617-643-7647
Mailing Address - Fax:617-643-4714
Practice Address - Street 1:15 PARKMAN ST
Practice Address - Street 2:WACC 440
Practice Address - City:BOSTON
Practice Address - State:MA
Practice Address - Zip Code:02114-3117
Practice Address - Country:US
Practice Address - Phone:617-643-7647
Practice Address - Fax:617-643-4714
Is Sole Proprietor?:No
Enumeration Date:2006-05-03
Last Update Date:2015-05-11
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Provider Licenses
StateLicense IDTaxonomies
MA227874208600000X, 2086S0129X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2086S0129XAllopathic & Osteopathic PhysiciansSurgeryVascular Surgery
No208600000XAllopathic & Osteopathic PhysiciansSurgery