Provider Demographics
NPI:1477652220
Name:LANCASTER, BRIAN ANDERSON (DC)
Entity Type:Individual
Prefix:
First Name:BRIAN
Middle Name:ANDERSON
Last Name:LANCASTER
Suffix:
Gender:M
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:18901 FOUNTAIN HILLS DR
Mailing Address - Street 2:
Mailing Address - City:GERMANTOWN
Mailing Address - State:MD
Mailing Address - Zip Code:20874-1872
Mailing Address - Country:US
Mailing Address - Phone:301-972-9350
Mailing Address - Fax:
Practice Address - Street 1:18901 FOUNTAIN HILLS DR
Practice Address - Street 2:
Practice Address - City:GERMANTOWN
Practice Address - State:MD
Practice Address - Zip Code:20874-1872
Practice Address - Country:US
Practice Address - Phone:301-972-9350
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-09-21
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0104555598111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor