Provider Demographics
NPI:1497530224
Name:LANCASTER, ELLEN RACHEL (FNP-BC)
Entity Type:Individual
Prefix:
First Name:ELLEN
Middle Name:RACHEL
Last Name:LANCASTER
Suffix:
Gender:F
Credentials:FNP-BC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2223 TORRANCE BLVD
Mailing Address - Street 2:
Mailing Address - City:TORRANCE
Mailing Address - State:CA
Mailing Address - Zip Code:90501-2517
Mailing Address - Country:US
Mailing Address - Phone:310-896-8027
Mailing Address - Fax:310-347-4013
Practice Address - Street 1:2223 TORRANCE BLVD
Practice Address - Street 2:
Practice Address - City:TORRANCE
Practice Address - State:CA
Practice Address - Zip Code:90501-2517
Practice Address - Country:US
Practice Address - Phone:310-896-8027
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-08-29
Last Update Date:2023-12-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA95026338363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner