Provider Demographics
NPI:1114709037
Name:LANCASTER URGENT CARE INC
Entity Type:Organization
Organization Name:LANCASTER URGENT CARE INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:RN/CEO
Authorized Official - Prefix:
Authorized Official - First Name:VINCENT
Authorized Official - Middle Name:
Authorized Official - Last Name:ESTACIO
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:661-899-5522
Mailing Address - Street 1:1331 W AVENUE J UNIT 101
Mailing Address - Street 2:
Mailing Address - City:LANCASTER
Mailing Address - State:CA
Mailing Address - Zip Code:93534-2942
Mailing Address - Country:US
Mailing Address - Phone:661-899-5522
Mailing Address - Fax:
Practice Address - Street 1:1331 W AVENUE J UNIT 101
Practice Address - Street 2:
Practice Address - City:LANCASTER
Practice Address - State:CA
Practice Address - Zip Code:93534-2942
Practice Address - Country:US
Practice Address - Phone:661-899-5522
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-10-16
Last Update Date:2023-10-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QU0200XAmbulatory Health Care FacilitiesClinic/CenterUrgent Care